Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.29 / $148.55 / $148.55	Facility		$131.29	$148.55	$148.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $136.72 / $209.22	Professional		$129.33	$136.72	$209.22
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 $274.48 / $284.83 / $284.83	Professional		$274.48	$284.83	$284.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $148.55 / $148.55 / $148.55	Facility		$148.55	$148.55	$148.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $113.01 / $144.44 / $209.22	Professional		$113.01	$144.44	$209.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $232.10 / $232.10 / $232.10	Professional		$232.10	$232.10	$232.10