Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.57 / $3,964.00 / $8,113.00	Facility		$264.57	$3,964.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.51 / $243.20 / $273.99	Professional		$230.51	$243.20	$273.99
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 $235.38 / $244.27 / $244.27	Professional		$235.38	$244.27	$244.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $230.51 / $264.57 / $785.77	Professional		$230.51	$264.57	$785.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.20 / $292.20 / $378.10	Professional		$292.20	$292.20	$378.10