Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,561.00 / $7,629.00	Facility		$832.00	$2,561.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.43 / $332.76 / $2,805.00	Professional		$201.43	$332.76	$2,805.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $64,999.35 / $64,999.35	Professional		$55,249.45	$64,999.35	$64,999.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $800.00 / $2,269.00	Facility		$495.00	$800.00	$2,269.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $55,249.45	Professional		$55,249.45	$55,249.45	$55,249.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.51 / $1,932.92 / $4,684.67	Facility		$1,622.51	$1,932.92	$4,684.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.50 / $587.00 / $715.75	Professional		$212.50	$587.00	$715.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,422.00 / $7,799.00	Facility		$657.00	$2,422.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $201.43 / $637.50 / $3,327.00	Professional		$201.43	$637.50	$3,327.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,000.00 / $4,380.00 / $4,380.00	Professional		$4,000.00	$4,380.00	$4,380.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $800.00 / $2,269.00	Facility		$495.00	$800.00	$2,269.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,135.00 / $1,135.00 / $1,135.00	Professional		$1,135.00	$1,135.00	$1,135.00
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00