Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.67 / $51.43	Facility		$19.48	$19.67	$51.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $20.05	Professional		$19.48	$19.48	$20.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $21.13 / $8,639.91	Facility		$18.04	$21.13	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $20.21 / $20.21	Professional		$20.21	$20.21	$20.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $21.13	Professional		$19.48	$19.48	$21.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $26.38	Professional		$19.48	$19.48	$26.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.67 / $51.43	Facility		$19.48	$19.67	$51.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $33.24	Professional		$19.48	$19.48	$33.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $43.80 / $43.80	Professional		$36.00	$43.80	$43.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $19.48 / $19.48	Facility		$18.38	$19.48	$19.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $22.26	Professional		$19.48	$19.48	$22.26
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $26.90	Professional		$19.48	$19.48	$26.90