Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.44 / $34.44 / $38.99	Facility		$34.44	$34.44	$38.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $46.18 / $89.26	Professional		$26.94	$46.18	$89.26
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 $80.14 / $83.16 / $83.16	Professional		$80.14	$83.16	$83.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $88.31 / $88.31	Professional		$88.31	$88.31	$88.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.44 / $34.44 / $38.99	Facility		$34.44	$34.44	$38.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $48.68 / $92.39	Professional		$27.01	$48.68	$92.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $31.00 / $31.00	Facility		$31.00	$31.00	$31.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $31.00 / $54.80	Professional		$31.00	$31.00	$54.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $88.31 / $88.31	Professional		$88.31	$88.31	$88.31
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $69.00 / $103.00	Professional		$50.00	$69.00	$103.00