Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.83 / $388.89 / $388.89	Facility		$346.83	$388.89	$388.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.81 / $388.89 / $632.99	Professional		$325.81	$388.89	$632.99
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 $843.18 / $875.00 / $875.00	Professional		$843.18	$875.00	$875.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $388.89 / $388.89 / $388.89	Facility		$388.89	$388.89	$388.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $282.07 / $389.13 / $854.05	Professional		$282.07	$389.13	$854.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.00 / $1,217.00 / $1,646.10	Professional		$1,217.00	$1,217.00	$1,646.10