Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $144.54	Professional		$56.23	$64.57	$144.54
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $141.25	Professional		$72.44	$75.86	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $147.91	Professional		$69.18	$93.33	$147.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $134.90	Professional		$64.57	$100.00	$134.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $138.04	Professional		$66.07	$87.10	$138.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $158.49	Professional		$95.50	$107.15	$158.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $173.78	Professional		$57.54	$77.62	$173.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $186.21	Professional		$141.25	$154.88	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $138.04	Professional		$63.10	$83.18	$138.04