Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.12 / $47.03 / $182.01	Facility		$45.12	$47.03	$182.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $47.72 / $61.06	Professional		$44.53	$47.72	$61.06
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 $99.14 / $99.14 / $102.88	Professional		$99.14	$99.14	$102.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $75.05 / $75.05	Facility		$75.05	$75.05	$75.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $54.79 / $101.25	Professional		$54.79	$54.79	$101.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.03 / $47.03 / $182.01	Facility		$47.03	$47.03	$182.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $47.03 / $55.37	Professional		$44.33	$47.03	$55.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $49.70 / $70.00	Professional		$49.70	$49.70	$70.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $75.05 / $75.05	Facility		$75.05	$75.05	$75.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $54.79 / $102.26	Professional		$54.79	$54.79	$102.26
United Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $62.38 / $109.25	Professional		$48.04	$62.38	$109.25