Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $21,379.62 / $37,153.52	Facility		$10,232.93	$21,379.62	$37,153.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,918.31 / $9,332.54	Professional		$5,128.61	$6,918.31	$9,332.54
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $12,882.50 / $28,840.32	Facility		$5,754.40	$12,882.50	$28,840.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40,738.03 / $40,738.03 / $40,738.03	Professional		$40,738.03	$40,738.03	$40,738.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $11,481.54 / $18,620.87	Professional		$8,912.51	$11,481.54	$18,620.87
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Facility		$8,511.38	$8,511.38	$8,511.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $14,125.38 / $21,379.62	Professional		$9,120.11	$14,125.38	$21,379.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $21,379.62 / $37,153.52	Facility		$10,000.00	$21,379.62	$37,153.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,918.31 / $10,964.78	Professional		$5,128.61	$6,918.31	$10,964.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Professional		$12,882.50	$12,882.50	$12,882.50
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $10,232.93	Facility		$8,511.38	$8,511.38	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $10,715.19	Professional		$3,548.13	$5,128.61	$10,715.19