Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.77 / $265.49 / $265.49	Facility		$236.77	$265.49	$265.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.56 / $246.27 / $345.70	Professional		$192.56	$246.27	$345.70
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 $347.58 / $360.70 / $360.70	Professional		$347.58	$360.70	$360.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $265.49 / $265.49 / $265.49	Facility		$265.49	$265.49	$265.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $192.56 / $246.27 / $345.70	Professional		$192.56	$246.27	$345.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $432.50 / $432.50 / $432.50	Professional		$432.50	$432.50	$432.50