Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.26	Facility		$0.15	$0.15	$0.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.18	Professional		$0.15	$0.15	$0.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.27 / $8,639.91	Facility		$0.23	$0.27	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $85.00	Facility		$0.28	$0.28	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.30	Professional		$0.12	$0.12	$0.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.24	Facility		$0.15	$0.15	$0.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.39	Professional		$0.15	$0.15	$0.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.98 / $1.65	Professional		$0.50	$0.98	$1.65
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $85.00	Facility		$0.28	$0.28	$85.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
United Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.23	Professional		$0.18	$0.18	$0.23