Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $676.08 / $1,148.15	Facility		$331.13	$676.08	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $288.40	Professional		$154.88	$208.93	$288.40
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $398.11 / $891.25	Facility		$173.78	$398.11	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $562.34	Professional		$275.42	$354.81	$562.34
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $489.78	Professional		$194.98	$302.00	$489.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $660.69 / $1,148.15	Facility		$309.03	$660.69	$1,148.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $776.25	Professional		$154.88	$213.80	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $323.59	Professional		$109.65	$154.88	$323.59