Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,317.64	Facility		$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,737.80	Professional		$724.44	$977.24	$1,737.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $912.01 / $1,412.54	Professional		$870.96	$912.01	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,445.44	Professional		$676.08	$870.96	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,348.96	Professional		$977.24	$977.24	$1,348.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,348.96	Professional		$724.44	$831.76	$1,348.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,801.89 / $8,317.64	Facility		$1,000.00	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,511.89	Professional		$758.58	$1,096.48	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,479.11	Professional		$831.76	$831.76	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $7,585.78	Facility		$1,348.96	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,479.11	Professional		$660.69	$870.96	$1,479.11