Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Optum Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $478.63	Facility		$151.36	$151.36	$478.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $478.63	Facility		$151.36	$151.36	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $478.63	Facility		$151.36	$151.36	$478.63