Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.78 / $405.60 / $1,372.46	Facility		$89.78	$405.60	$1,372.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $99.92 / $147.32	Professional		$85.78	$99.92	$147.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $64,999.35 / $64,999.35 / $64,999.35	Professional		$64,999.35	$64,999.35	$64,999.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.34 / $198.59 / $368.27	Facility		$107.34	$198.59	$368.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.93 / $129.46 / $274.35	Professional		$85.93	$129.46	$274.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $68,899.31	Professional		$55,249.45	$55,249.45	$68,899.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.98 / $241.41 / $471.21	Facility		$185.98	$241.41	$471.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $117.39 / $375.65 / $1,357.16	Facility		$117.39	$375.65	$1,357.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $86.85 / $105.80 / $251.33	Professional		$86.85	$105.80	$251.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.80 / $145.80 / $145.80	Professional		$145.80	$145.80	$145.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $107.33 / $193.19 / $368.27	Facility		$107.33	$193.19	$368.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.49 / $128.00 / $294.73	Professional		$89.49	$128.00	$294.73