Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $76.83 / $78.68	Professional		$74.06	$76.83	$78.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $84.86 / $8,459.92	Facility		$72.44	$84.86	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $84.86 / $84.86	Professional		$84.86	$84.86	$84.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $89.84 / $122.92	Professional		$78.68	$89.84	$122.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $78.68 / $143.97	Professional		$78.68	$78.68	$143.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $78.68 / $193.55	Professional		$74.06	$78.68	$193.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $143.90 / $158.60	Professional		$130.80	$143.90	$158.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $89.84 / $107.63	Professional		$78.68	$89.84	$107.63
United Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $92.57 / $116.64	Professional		$87.94	$92.57	$116.64