Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.06 / $10.68 / $27.55	Facility		$6.06	$10.68	$27.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.68 / $15.90	Professional		$10.43	$10.68	$15.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6.74 / $7.89 / $8,459.92	Facility		$6.74	$7.89	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $8.31 / $8.31	Professional		$8.31	$8.31	$8.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $7.87	Professional		$7.87	$7.87	$7.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $38,249.62	Professional		$10.68	$10.68	$38,249.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $85.85	Facility		$10.68	$10.68	$85.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $27.55	Professional		$10.68	$10.68	$27.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $18.80 / $28.88	Professional		$11.80	$18.80	$28.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $7.87	Professional		$7.87	$7.87	$7.87
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $15.84	Professional		$12.57	$12.57	$15.84