Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.35 / $116.08 / $449.23	Facility		$111.35	$116.08	$449.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $117.78 / $150.72	Professional		$109.91	$117.78	$150.72
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 $244.40 / $253.63 / $253.63	Professional		$244.40	$253.63	$253.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $210.68	Facility		$210.68	$210.68	$210.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $153.80 / $217.00	Professional		$153.80	$153.80	$217.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $116.08 / $116.08 / $449.23	Facility		$116.08	$116.08	$449.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.34 / $117.78 / $136.43	Professional		$109.34	$117.78	$136.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $271.20 / $271.20 / $271.20	Professional		$271.20	$271.20	$271.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $210.68	Facility		$210.68	$210.68	$210.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $153.80 / $401.63	Professional		$153.80	$153.80	$401.63
United Facility/Professional Professional Modifier Low / Median / High Price $118.56 / $153.97 / $272.23	Professional		$118.56	$153.97	$272.23