Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $7,762.47	Facility		$2,137.96	$4,365.16	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,949.84	Professional		$1,047.13	$1,412.54	$1,949.84
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,691.53 / $6,025.60	Facility		$1,174.90	$2,691.53	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $3,801.89	Professional		$1,862.09	$2,344.23	$3,801.89
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $4,466.84	Professional		$1,905.46	$2,884.03	$4,466.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $7,762.47	Facility		$2,041.74	$4,365.16	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,238.72	Professional		$1,047.13	$1,412.54	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,089.30	Facility		$1,737.80	$1,737.80	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $2,187.76	Professional		$741.31	$1,047.13	$2,187.76