Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.46 / $434.80 / $1,022.40	Facility		$128.46	$434.80	$1,022.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $98.23 / $218.90	Professional		$57.04	$98.23	$218.90
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $200.68 / $686.69 / $9,221.84	Facility		$200.68	$686.69	$9,221.84
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 $59.66 / $61.91 / $61.91	Professional		$59.66	$61.91	$61.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.77 / $276.19 / $431.34	Facility		$94.77	$276.19	$431.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $102.35 / $190.29	Professional		$62.30	$102.35	$190.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $85.65 / $117.93	Professional		$80.40	$85.65	$117.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.47 / $52.35 / $687.20	Facility		$46.47	$52.35	$687.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $190.60 / $249.68	Professional		$143.96	$190.60	$249.68
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $190.64 / $655.49 / $6,067.49	Facility		$190.64	$655.49	$6,067.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $128.46 / $500.40 / $1,236.96	Facility		$128.46	$500.40	$1,236.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $103.18 / $248.37	Professional		$57.04	$103.18	$248.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $871.16 / $900.19 / $1,159.60	Facility		$871.16	$900.19	$1,159.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $70.62 / $170.70	Professional		$52.97	$70.62	$170.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $91.09 / $221.54 / $359.45	Facility		$91.09	$221.54	$359.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $103.27 / $190.29	Professional		$64.51	$103.27	$190.29
United Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $105.53 / $182.57	Professional		$58.33	$105.53	$182.57