Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.58	Facility		$1.00	$1.00	$1.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $28.84 / $28.84	Professional		$27.54	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.58	Facility		$1.00	$1.00	$1.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.26	Professional		$1.00	$1.00	$1.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $67.61	Professional		$54.95	$60.26	$67.61