Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.91 / $300.00 / $610.00	Facility		$42.91	$300.00	$610.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $143.07 / $298.64 / $572.01	Facility	25	$143.07	$298.64	$572.01
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,561.00 / $1,561.00 / $1,647.00	Facility		$1,561.00	$1,561.00	$1,647.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $331.56 / $378.00 / $582.00	Facility		$331.56	$378.00	$582.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $1,313.00 / $3,255.00	Facility		$13.19	$1,313.00	$3,255.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $24.86 / $24.86	Facility		$24.86	$24.86	$24.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.04 / $256.31 / $365.00	Facility		$222.04	$256.31	$365.00
Highmark BCBS Facility/Professional Facility Modifier 25 Low / Median / High Price $212.53 / $229.06 / $422.21	Facility	25	$212.53	$229.06	$422.21
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,561.00 / $1,561.00 / $1,647.00	Facility		$1,561.00	$1,561.00	$1,647.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $263.08 / $619.00	Facility		$18.23	$263.08	$619.00
Martin's Point Facility/Professional Facility Modifier 25 Low / Median / High Price $125.96 / $298.64 / $584.69	Facility	25	$125.96	$298.64	$584.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $210.00 / $210.00	Facility		$210.00	$210.00	$210.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $1,250.00 / $3,100.00	Facility		$13.19	$1,250.00	$3,100.00