Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.22 / $180.90 / $506.55	Facility		$81.22	$180.90	$506.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.03 / $140.00 / $236.80	Professional		$107.03	$140.00	$236.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.67 / $121.63 / $130.51	Professional		$114.67	$121.63	$130.51
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $96.36 / $693.32 / $1,185.75	Facility		$96.36	$693.32	$1,185.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $71.31 / $5,000.00 / $77,850.02	Facility		$71.31	$5,000.00	$77,850.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $165.01 / $171.24 / $171.24	Professional		$165.01	$171.24	$171.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.71 / $243.65 / $338.25	Facility		$136.71	$243.65	$338.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.41 / $166.51 / $287.16	Professional		$110.41	$166.51	$287.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $165.89 / $275.95	Professional		$122.83	$165.89	$275.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.53 / $151.80 / $326.12	Facility		$49.53	$151.80	$326.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.93 / $173.11 / $195.06	Professional		$159.93	$173.11	$195.06
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $96.36 / $693.32 / $1,185.75	Facility		$96.36	$693.32	$1,185.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $109.46 / $248.83 / $590.98	Facility		$109.46	$248.83	$590.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $152.02 / $347.27	Professional		$111.79	$152.02	$347.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $335.13 / $371.21 / $477.91	Facility		$335.13	$371.21	$477.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $46.88 / $71.13	Professional		$17.23	$46.88	$71.13
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $132.44 / $222.41 / $363.74	Facility		$132.44	$222.41	$363.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $114.84 / $166.51 / $276.80	Professional		$114.84	$166.51	$276.80
United Facility/Professional Professional Modifier Low / Median / High Price $125.02 / $178.35 / $286.67	Professional		$125.02	$178.35	$286.67