Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $331.13	Professional		$70.79	$107.15	$331.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $114.82 / $190.55	Professional		$112.20	$114.82	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $186.21	Professional		$69.18	$114.82	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $239.88	Professional		$138.04	$177.83	$239.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $154.88	Professional		$109.65	$117.49	$154.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $331.13	Professional		$70.79	$114.82	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $128.82 / $229.09	Professional		$125.89	$128.82	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $6,165.95 / $10,000.00	Facility		$2,089.30	$6,165.95	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $194.98	Professional		$69.18	$109.65	$194.98