Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $14.09 / $54.53	Facility		$13.52	$14.09	$54.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $14.30 / $18.30	Professional		$13.34	$14.30	$18.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $30.53 / $30.53	Professional		$29.42	$30.53	$30.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $27.60	Facility		$27.60	$27.60	$27.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $28.43	Professional		$20.14	$20.14	$28.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $14.09 / $54.53	Facility		$14.09	$14.09	$54.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $14.09 / $17.55	Professional		$13.25	$14.09	$17.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $31.20 / $31.20	Professional		$31.20	$31.20	$31.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $27.60	Facility		$27.60	$27.60	$27.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $30.38	Professional		$20.14	$20.14	$30.38
United Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $18.69 / $32.72	Professional		$14.39	$18.69	$32.72