Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.89 / $350.00 / $784.00	Facility		$80.89	$350.00	$784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $87.93 / $113.98	Professional		$60.50	$87.93	$113.98
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 $73.03 / $85.92 / $85.92	Professional		$73.03	$85.92	$85.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $105.88	Facility		$105.88	$105.88	$105.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $78.08	Professional		$78.08	$78.08	$78.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $105.97 / $350.00 / $651.00	Facility		$105.97	$350.00	$651.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $89.17 / $124.96	Professional		$75.34	$89.17	$124.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $74.80 / $74.80 / $74.80	Facility		$74.80	$74.80	$74.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $80.70 / $101.00	Professional		$74.80	$80.70	$101.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $105.88	Facility		$105.88	$105.88	$105.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $78.08	Professional		$78.08	$78.08	$78.08
United Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $110.45 / $190.88	Professional		$76.87	$110.45	$190.88