Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.82 / $166.51 / $166.51	Facility		$132.82	$166.51	$166.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $126.87 / $159.27	Professional		$52.49	$126.87	$159.27
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $177.41 / $263.68	Professional		$141.91	$177.41	$263.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $128.26 / $128.26	Professional		$128.26	$128.26	$128.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $197.53 / $292.02	Professional		$145.72	$197.53	$292.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $132.82 / $132.82 / $166.51	Facility		$132.82	$132.82	$166.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $132.82 / $162.91	Professional		$55.09	$132.82	$162.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $304.70 / $304.70 / $304.70	Professional		$304.70	$304.70	$304.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $128.26 / $171.32	Professional		$128.26	$128.26	$171.32
United Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $152.24 / $267.82	Professional		$121.63	$152.24	$267.82