Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $58.88	Facility		$57.54	$57.54	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $60.26	Professional		$54.95	$57.54	$60.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $57.54 / $5,011.87	Facility		$48.98	$57.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $58.88	Professional		$50.12	$58.88	$58.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $58.88 / $58.88	Facility		$57.54	$58.88	$58.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $67.61	Professional		$54.95	$57.54	$67.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $75.86	Professional		$58.88	$69.18	$75.86