Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $0.53	Facility		$0.33	$0.33	$0.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.33 / $0.33	Professional		$0.32	$0.33	$0.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $0.65 / $8,459.92	Facility		$0.55	$0.65	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.65	Professional		$0.65	$0.65	$0.65
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 $0.33 / $0.33 / $38,249.62	Professional		$0.33	$0.33	$38,249.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $0.85	Facility		$0.33	$0.33	$0.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.45	Professional		$0.33	$0.33	$0.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.33 / $0.51	Professional		$0.22	$0.33	$0.51
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 $0.39 / $0.39 / $0.49	Professional		$0.39	$0.39	$0.49