Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,071.52 / $1,819.70	Facility		$524.81	$1,071.52	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $489.78	Professional		$251.19	$338.84	$489.78
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $630.96 / $1,412.54	Facility		$281.84	$630.96	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $912.01	Professional		$436.52	$562.34	$912.01
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $794.33	Professional		$309.03	$478.63	$794.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,071.52 / $1,819.70	Facility		$489.78	$1,071.52	$1,819.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $1,230.27	Professional		$251.19	$338.84	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $524.81	Professional		$173.78	$251.19	$524.81