Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $20.66 / $34.15	Facility		$13.77	$20.66	$34.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $13.77 / $13.77	Professional		$12.96	$13.77	$13.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $15.39 / $8,459.92	Facility		$13.14	$15.39	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Facility		$13.25	$13.25	$13.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Professional		$13.25	$13.25	$13.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $13.77 / $38,249.62	Professional		$13.77	$13.77	$38,249.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $17.48 / $35.53	Facility		$13.77	$17.48	$35.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $13.77 / $17.48	Professional		$12.96	$13.77	$17.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $419.64 / $649.90	Professional		$261.95	$419.64	$649.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Facility		$13.25	$13.25	$13.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.75	Professional		$13.25	$13.25	$13.75
United Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $16.55	Professional		$13.25	$13.25	$16.55