Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.97 / $368.61 / $1,589.50	Facility		$200.97	$368.61	$1,589.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.48 / $425.00 / $522.50	Professional		$88.48	$425.00	$522.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,159.63 / $5,000.00 / $77,850.02	Facility		$1,159.63	$5,000.00	$77,850.02
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 $107.74 / $181.55 / $801.51	Facility		$107.74	$181.55	$801.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $112.84 / $280.37	Professional		$74.90	$112.84	$280.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $124.01 / $38,249.62	Professional		$113.03	$124.01	$38,249.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.12 / $234.00 / $395.26	Facility		$173.12	$234.00	$395.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $93.19 / $93.19	Professional		$93.19	$93.19	$93.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $128.30 / $447.44 / $1,816.00	Facility		$128.30	$447.44	$1,816.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $88.48 / $425.00 / $1,262.25	Professional		$88.48	$425.00	$1,262.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $127.10 / $127.10 / $127.10	Professional		$127.10	$127.10	$127.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $107.74 / $178.05 / $801.51	Facility		$107.74	$178.05	$801.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $112.10 / $425.00	Professional		$78.12	$112.10	$425.00