Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $15.18 / $25.79	Facility		$10.40	$15.18	$25.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $10.40 / $10.40	Professional		$9.78	$10.40	$10.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $9.58 / $8,459.92	Facility		$8.18	$9.58	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $9.58 / $9.58	Professional		$9.58	$9.58	$9.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Facility		$10.40	$10.40	$10.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Professional		$10.40	$10.40	$10.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $10.40 / $10.40	Professional		$5.08	$10.40	$10.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $15.60 / $25.79	Facility		$10.40	$15.60	$25.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $10.40 / $16.22	Professional		$9.78	$10.40	$16.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $7.50 / $27.40	Professional		$6.50	$7.50	$27.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Facility		$10.40	$10.40	$10.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Professional		$10.40	$10.40	$10.40
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.81 / $13.31	Professional		$10.19	$10.81	$13.31