Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.37 / $184.28 / $256.97	Facility		$85.37	$184.28	$256.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $101.49	Professional		$84.57	$84.57	$101.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $91.75 / $137.63	Facility		$77.98	$91.75	$137.63
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $87.76 / $87.76	Professional		$87.76	$87.76	$87.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.78 / $84.57 / $84.57	Facility		$79.78	$84.57	$84.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $87.76	Professional		$84.57	$84.57	$87.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $81.93 / $105.79	Professional		$81.93	$81.93	$105.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $85.37 / $144.28 / $256.97	Facility		$85.37	$144.28	$256.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $85.37 / $144.28	Professional		$84.57	$85.37	$144.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $128.91	Professional		$27.40	$27.40	$128.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $79.78 / $84.57 / $84.57	Facility		$79.78	$84.57	$84.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $95.74	Professional		$84.57	$84.57	$95.74
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $89.64 / $119.50	Professional		$84.57	$89.64	$119.50