Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.24 / $55.24 / $93.36	Facility		$45.24	$55.24	$93.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $55.24 / $77.17	Professional		$39.49	$55.24	$77.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $71.69 / $83.98 / $8,459.92	Facility		$71.69	$83.98	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $88.40 / $88.40	Professional		$85.19	$88.40	$88.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $68.97 / $68.97	Facility		$68.97	$68.97	$68.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $45.24 / $55.24 / $93.36	Facility		$45.24	$55.24	$93.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $55.24 / $93.36	Professional		$45.24	$55.24	$93.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $84.20	Professional		$25.00	$25.00	$84.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $68.97 / $68.97	Facility		$68.97	$68.97	$68.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
United Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $59.84	Facility		$59.84	$59.84	$59.84
United Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $60.55 / $77.50	Professional		$59.34	$60.55	$77.50