Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $8.83 / $15.00	Facility		$5.25	$8.83	$15.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.20 / $9.85	Professional		$5.25	$6.20	$9.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $12.81 / $8,459.92	Facility		$10.94	$12.81	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $12.81 / $12.81	Professional		$12.81	$12.81	$12.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $6.55 / $6.55	Facility		$6.55	$6.55	$6.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $6.55 / $6.80	Professional		$6.55	$6.55	$6.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $21.55	Professional		$9.85	$9.85	$21.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.93 / $15.00	Facility		$5.25	$7.93	$15.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.20 / $9.85	Professional		$5.25	$6.20	$9.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $6.55 / $6.55	Facility		$6.55	$6.55	$6.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $6.55 / $7.16	Professional		$6.55	$6.55	$7.16
United Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $12.29 / $15.12	Professional		$11.59	$12.29	$15.12