Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $640.00 / $1,820.00	Professional		$640.00	$640.00	$1,820.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $967.00 / $967.00	Facility		$967.00	$967.00	$967.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $462.60 / $1,141.65	Professional		$25.00	$462.60	$1,141.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,081.59	Facility		$640.00	$640.00	$1,081.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $640.00 / $1,820.00	Professional		$640.00	$640.00	$1,820.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.80 / $776.80 / $776.80	Professional		$776.80	$776.80	$776.80