Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,677.35 / $8,128.31	Facility		$2,238.72	$4,677.35	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,089.30	Professional		$1,122.02	$1,513.56	$2,089.30
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,818.38 / $6,309.57	Facility		$1,258.93	$2,818.38	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Professional		$8,912.51	$8,912.51	$8,912.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $4,073.80	Professional		$1,949.84	$2,511.89	$4,073.80
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,090.30 / $4,677.35	Professional		$1,995.26	$3,090.30	$4,677.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,677.35 / $8,128.31	Facility		$2,187.76	$4,677.35	$8,128.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,398.83	Professional		$1,122.02	$1,513.56	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,344.23	Professional		$776.25	$1,122.02	$2,344.23