Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $47.80 / $53.57	Facility		$47.80	$47.80	$53.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $50.58 / $68.52	Professional		$41.21	$50.58	$68.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $64.63 / $67.06 / $67.06	Professional		$64.63	$67.06	$67.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $73.31	Professional		$73.31	$73.31	$73.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $47.80 / $53.57	Facility		$47.80	$47.80	$53.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $50.58 / $68.52	Professional		$42.69	$50.58	$68.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $72.70 / $72.70	Professional		$72.70	$72.70	$72.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $73.31	Professional		$73.31	$73.31	$73.31
United Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $107.00 / $146.00	Professional		$76.00	$107.00	$146.00