Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $10.59 / $11.95	Facility		$10.59	$10.59	$11.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $16.92 / $20.39	Professional		$10.59	$16.92	$20.39
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 $24.73 / $25.66 / $25.66	Professional		$24.73	$25.66	$25.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $10.59 / $11.95	Facility		$10.59	$10.59	$11.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $16.92 / $20.39	Professional		$10.59	$16.92	$20.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $29.00 / $29.00	Professional		$29.00	$29.00	$29.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $38.00 / $49.00	Professional		$28.00	$38.00	$49.00