Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.96 / $0.96	Facility		$0.96	$0.96	$0.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.96 / $1.20	Professional		$0.95	$0.96	$1.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.90 / $8,459.92	Facility		$1.62	$1.90	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.00 / $2.00	Professional		$1.93	$2.00	$2.00
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 $0.22 / $0.42 / $0.49	Professional		$0.22	$0.42	$0.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,249.62 / $38,249.62 / $38,249.62	Professional		$38,249.62	$38,249.62	$38,249.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.96 / $1.37	Facility		$0.96	$0.96	$1.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.96 / $1.20	Professional		$0.95	$0.96	$1.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.98 / $2.99	Professional		$1.34	$1.98	$2.99
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 $0.22 / $0.40 / $0.48	Professional		$0.22	$0.40	$0.48
United Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $0.77	Professional		$0.56	$0.56	$0.77