Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $147.30 / $147.30	Facility		$131.35	$147.30	$147.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.85 / $131.35 / $153.83	Professional		$106.85	$131.35	$153.83
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 $124.39 / $129.09 / $129.09	Professional		$124.39	$129.09	$129.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $147.30 / $147.30 / $147.30	Facility		$147.30	$147.30	$147.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $106.85 / $131.35 / $153.83	Professional		$106.85	$131.35	$153.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00