Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $74.15 / $124.25	Facility		$50.10	$74.15	$124.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $50.10 / $54.16	Professional		$47.15	$50.10	$54.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $48.92 / $8,459.92	Facility		$41.76	$48.92	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $48.92 / $48.92	Professional		$48.92	$48.92	$48.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Facility		$52.07	$52.07	$52.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $54.03	Professional		$52.07	$52.07	$54.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $65.13	Professional		$50.10	$50.10	$65.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $73.15 / $124.25	Facility		$50.10	$73.15	$124.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $50.10 / $123.25	Professional		$47.15	$50.10	$123.25
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 $52.07 / $52.07 / $52.07	Facility		$52.07	$52.07	$52.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $56.05	Professional		$52.07	$52.07	$56.05
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $62.48 / $77.80	Professional		$58.94	$62.48	$77.80