Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $112.32 / $145.91	Facility		$48.48	$112.32	$145.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.00 / $52.77	Professional		$47.97	$48.00	$52.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $52.05 / $78.08	Facility		$44.24	$52.05	$78.08
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $49.78 / $49.78	Professional		$49.78	$49.78	$49.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $47.97 / $47.97	Facility		$45.26	$47.97	$47.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $49.78	Professional		$47.97	$47.97	$49.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $60.01	Professional		$47.97	$47.97	$60.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $112.32 / $145.91	Facility		$48.48	$112.32	$145.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.48 / $81.93	Professional		$47.97	$48.48	$81.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $43.06 / $71.95	Professional		$27.40	$43.06	$71.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $47.97 / $47.97	Facility		$45.26	$47.97	$47.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $52.05	Professional		$47.97	$47.97	$52.05
United Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $47.97 / $59.96	Professional		$46.75	$47.97	$59.96