Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $10.28 / $14.16	Facility		$10.28	$10.28	$14.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $11.15 / $14.31	Professional		$8.77	$11.15	$14.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $18.47 / $18.47	Professional		$17.80	$18.47	$18.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $25.29 / $25.29	Professional		$25.29	$25.29	$25.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $10.28 / $14.16	Facility		$10.28	$10.28	$14.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $11.15 / $14.16	Professional		$8.77	$11.15	$14.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $40.79 / $40.79	Professional		$9.40	$40.79	$40.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
United Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $10.80 / $22.26	Professional		$8.81	$10.80	$22.26