Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $3.04 / $26.47	Professional		$0.07	$3.04	$26.47
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 $0.41 / $0.43 / $0.43	Professional		$0.41	$0.43	$0.43
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 $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $8.23 / $25.00	Professional		$8.18	$8.23	$25.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $1.18 / $26.47	Professional		$0.02	$1.18	$26.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $29.40 / $36.00	Professional		$25.60	$29.40	$36.00
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 $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $17.12 / $29.28	Professional		$13.60	$17.12	$29.28