Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $48.67 / $86.70	Facility		$28.80	$48.67	$86.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $32.61	Professional		$28.52	$28.52	$32.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.41 / $30.94 / $8,459.92	Facility		$26.41	$30.94	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $29.59 / $29.59	Professional		$29.59	$29.59	$29.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $28.52 / $28.52	Facility		$26.90	$28.52	$28.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Professional		$28.52	$28.52	$28.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $38.38	Professional		$28.52	$28.52	$38.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $44.49 / $86.70	Facility		$28.80	$44.49	$86.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.80 / $48.67	Professional		$28.52	$28.80	$48.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $42.21	Professional		$27.40	$27.40	$42.21
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $28.52 / $28.52	Facility		$26.90	$28.52	$28.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $29.59	Professional		$28.52	$28.52	$29.59
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $30.23 / $40.29	Professional		$28.52	$30.23	$40.29