Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $73.48 / $121.76	Facility		$43.64	$73.48	$121.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $50.43 / $62.13	Professional		$43.64	$50.43	$62.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $57.20 / $67.00 / $8,459.92	Facility		$57.20	$67.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $67.00 / $67.00	Professional		$67.00	$67.00	$67.00
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 $62.13 / $70.36 / $127.38	Professional		$62.13	$70.36	$127.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $70.05 / $103.55	Professional		$63.96	$70.05	$103.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $65.93 / $124.82	Facility		$43.64	$65.93	$124.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $51.50 / $73.75	Professional		$43.64	$51.50	$73.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $101.80 / $122.60	Professional		$27.40	$101.80	$122.60
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 $62.13 / $70.36 / $84.30	Professional		$62.13	$70.36	$84.30
United Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $77.48 / $105.86	Professional		$73.09	$77.48	$105.86