Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.00 / $510.00 / $1,048.00	Facility		$322.00	$510.00	$1,048.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $237.95 / $237.95 / $460.00	Facility		$237.95	$237.95	$460.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $647.00 / $647.00 / $647.00	Facility		$647.00	$647.00	$647.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $322.00 / $510.00 / $1,048.00	Facility		$322.00	$510.00	$1,048.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $318.00 / $472.00	Facility		$270.00	$318.00	$472.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $318.00 / $472.00	Facility		$270.00	$318.00	$472.00