Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $64.06 / $64.06	Facility		$64.06	$64.06	$64.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $66.37 / $78.42	Professional		$50.83	$66.37	$78.42
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $71.63 / $131.31	Professional		$69.03	$71.63	$131.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $79.27 / $79.27	Facility		$79.27	$79.27	$79.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $61.30 / $61.30	Professional		$61.30	$61.30	$61.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $149.86 / $149.86 / $149.86	Facility		$149.86	$149.86	$149.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $100.33 / $145.91	Professional		$78.04	$100.33	$145.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $64.06 / $64.06	Facility		$64.06	$64.06	$64.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $67.23 / $86.96	Professional		$55.41	$67.23	$86.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $141.19 / $175.50	Professional		$123.80	$141.19	$175.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $79.27 / $79.27	Facility		$79.27	$79.27	$79.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $61.30 / $61.30	Professional		$61.30	$61.30	$61.30
United Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $76.61 / $133.10	Professional		$60.06	$76.61	$133.10