Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $47.50 / $52.67	Professional		$47.50	$47.50	$52.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $29.52 / $29.52	Professional		$29.52	$29.52	$29.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $42.60 / $43.10	Professional		$25.00	$42.60	$43.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $47.50 / $52.67	Professional		$47.50	$47.50	$52.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $92.50 / $112.50	Professional		$80.00	$92.50	$112.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $29.52 / $29.52	Professional		$29.52	$29.52	$29.52
United Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $55.00 / $93.79	Professional		$42.50	$55.00	$93.79