Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $812.83	Professional		$616.60	$616.60	$812.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $537.03 / $537.03	Professional		$524.81	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $812.83	Professional		$616.60	$616.60	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $2,454.71	Facility		$1,047.13	$1,995.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,071.52	Professional		$776.25	$1,071.52	$1,071.52