Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $80.68 / $104.82	Facility		$34.22	$80.68	$104.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.07 / $4,229.52	Professional		$33.88	$35.07	$4,229.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $31.24 / $36.75 / $55.13	Facility		$31.24	$36.75	$55.13
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $35.15	Professional		$35.15	$35.15	$35.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $33.88 / $33.88	Facility		$31.96	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $35.15	Professional		$33.88	$33.88	$35.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $45.87	Professional		$33.88	$33.88	$45.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $68.62 / $104.82	Facility		$34.82	$68.62	$104.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.96 / $4,229.52	Professional		$33.88	$38.96	$4,229.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $48.70 / $85.60	Professional		$27.40	$48.70	$85.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $33.88 / $33.88	Facility		$31.96	$33.88	$33.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $37.47	Professional		$33.88	$33.88	$37.47
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $44.21	Professional		$33.88	$33.88	$44.21