Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $12.98 / $23.16	Facility		$9.34	$12.98	$23.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $9.34 / $9.34	Professional		$8.78	$9.34	$9.34
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $10.71 / $8,459.92	Facility		$9.14	$10.71	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $10.71 / $10.71	Professional		$10.71	$10.71	$10.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $9.34 / $9.34	Facility		$9.34	$9.34	$9.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $9.34 / $9.34	Professional		$9.34	$9.34	$9.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $10.38 / $15.01	Professional		$10.38	$10.38	$15.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $13.82 / $23.16	Facility		$9.34	$13.82	$23.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $9.34 / $15.78	Professional		$8.78	$9.34	$15.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $14.80 / $16.30	Professional		$13.50	$14.80	$16.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $9.34 / $9.34	Facility		$9.34	$9.34	$9.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $9.34 / $9.34	Professional		$9.34	$9.34	$9.34
United Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $12.90 / $12.90	Facility		$12.90	$12.90	$12.90
United Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $10.99	Professional		$9.16	$9.16	$10.99