Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $38.02	Facility		$28.84	$28.84	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $37.15	Professional		$28.84	$28.84	$37.15
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 $13.18 / $13.80 / $13.80	Professional		$13.18	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $1,202.26	Facility		$64.57	$64.57	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $38.02	Facility		$28.84	$28.84	$38.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $37.15	Professional		$28.84	$28.84	$37.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60