Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.09 / $153.72 / $153.72	Facility		$137.09	$153.72	$153.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $145.16 / $166.35	Professional		$111.51	$145.16	$166.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $79.06 / $79.06	Professional		$76.18	$79.06	$79.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $153.72 / $153.72 / $153.72	Facility		$153.72	$153.72	$153.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $145.16 / $167.10	Professional		$111.51	$145.16	$167.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $147.80 / $155.19	Professional		$147.80	$147.80	$155.19