Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $17.19 / $17.19	Facility		$15.19	$17.19	$17.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $15.54 / $22.94	Professional		$12.81	$15.54	$22.94
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 $20.98 / $21.77 / $21.77	Professional		$20.98	$21.77	$21.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $26.58 / $26.58	Professional		$26.58	$26.58	$26.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $17.19 / $17.19	Facility		$17.19	$17.19	$17.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $16.30 / $36.78	Professional		$12.81	$16.30	$36.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.90 / $31.70 / $31.70	Professional		$26.90	$31.70	$31.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $26.58 / $26.58	Professional		$26.58	$26.58	$26.58
United Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $44.00 / $75.00	Professional		$28.00	$44.00	$75.00