Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.26 / $460.23 / $659.95	Facility		$219.26	$460.23	$659.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $238.80	Professional		$217.09	$217.09	$238.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $200.19 / $235.52 / $353.28	Facility		$200.19	$235.52	$353.28
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $225.28 / $225.28 / $225.28	Professional		$225.28	$225.28	$225.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $217.09 / $217.09	Facility		$204.80	$217.09	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $225.28	Professional		$217.09	$217.09	$225.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $209.70 / $209.70 / $271.56	Professional		$209.70	$209.70	$271.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $219.26 / $338.66 / $659.95	Facility		$219.26	$338.66	$659.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $219.26 / $370.55	Professional		$217.09	$219.26	$370.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $328.87	Professional		$27.40	$27.40	$328.87
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $217.09 / $217.09	Facility		$204.80	$217.09	$217.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $231.94	Professional		$217.09	$217.09	$231.94
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $230.12 / $290.00	Professional		$217.09	$230.12	$290.00