Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.33 / $681.53 / $1,475.30	Facility		$312.33	$681.53	$1,475.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.68 / $372.42 / $1,361.88	Professional		$300.68	$372.42	$1,361.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $268.52 / $268.52 / $268.52	Professional		$268.52	$268.52	$268.52
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11,734.18 / $11,734.18 / $11,734.18	Facility		$11,734.18	$11,734.18	$11,734.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $847.02 / $5,000.00 / $77,850.02	Facility		$847.02	$5,000.00	$77,850.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $340.97 / $353.84 / $353.84	Professional		$340.97	$353.84	$353.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.79 / $650.33 / $1,088.57	Professional		$542.79	$650.33	$1,088.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $396.74 / $526.09 / $551.14	Professional		$396.74	$526.09	$551.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $942.70 / $1,573.62 / $2,596.83	Facility		$942.70	$1,573.62	$2,596.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.99 / $576.15 / $734.30	Professional		$417.99	$576.15	$734.30
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $11,734.18 / $11,734.18 / $14,866.27	Facility		$11,734.18	$11,734.18	$14,866.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $372.42 / $774.59 / $1,500.43	Facility		$372.42	$774.59	$1,500.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $312.33 / $372.42 / $1,471.06	Professional		$312.33	$372.42	$1,471.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $892.70 / $922.45 / $1,188.29	Facility		$892.70	$922.45	$1,188.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $444.90 / $472.60 / $1,027.19	Professional		$444.90	$472.60	$1,027.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $542.79 / $650.33 / $1,088.57	Professional		$542.79	$650.33	$1,088.57
United Facility/Professional Professional Modifier Low / Median / High Price $310.74 / $405.61 / $685.41	Professional		$310.74	$405.61	$685.41