Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.89 / $458.06 / $783.43	Facility		$315.89	$458.06	$783.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.32 / $315.89 / $339.31	Professional		$297.32	$315.89	$339.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $263.33 / $308.47 / $8,459.92	Facility		$263.33	$308.47	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $308.47 / $308.47 / $308.47	Professional		$308.47	$308.47	$308.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.72 / $321.72 / $321.72	Facility		$321.72	$321.72	$321.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $333.86	Professional		$321.72	$321.72	$333.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $332.17 / $347.26 / $435.61	Professional		$332.17	$347.26	$435.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $315.89 / $467.53 / $783.43	Facility		$315.89	$467.53	$783.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $297.32 / $315.89 / $445.98	Professional		$297.32	$315.89	$445.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $254.20 / $306.20	Professional		$27.40	$254.20	$306.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $321.72 / $321.72 / $321.72	Facility		$321.72	$321.72	$321.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $349.04	Professional		$321.72	$321.72	$349.04
United Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $328.29 / $427.71	Professional		$309.70	$328.29	$427.71