Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $3,467.37	Facility		$1,000.00	$2,041.74	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $933.25	Professional		$478.63	$645.65	$933.25
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,202.26 / $2,691.53	Facility		$537.03	$1,202.26	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,737.80	Professional		$831.76	$1,071.52	$1,737.80
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,513.56	Professional		$602.56	$912.01	$1,513.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,041.74 / $3,467.37	Facility		$933.25	$2,041.74	$3,467.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $2,344.23	Professional		$478.63	$645.65	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $1,000.00	Professional		$331.13	$478.63	$1,000.00