Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.35 / $2.23	Facility		$0.90	$1.35	$2.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.90 / $0.90	Professional		$0.85	$0.90	$0.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $0.88 / $8,459.92	Facility		$0.75	$0.88	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $0.88	Professional		$0.88	$0.88	$0.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Facility		$0.90	$0.90	$0.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Professional		$0.90	$0.90	$0.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Professional		$0.90	$0.90	$0.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.35 / $2.23	Facility		$0.90	$1.35	$2.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.90 / $1.52	Professional		$0.85	$0.90	$1.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Facility		$0.90	$0.90	$0.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Professional		$0.90	$0.90	$0.90
United Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $0.98 / $1.20	Professional		$0.92	$0.98	$1.20