Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $463.40 / $2,028.84	Facility		$61.28	$463.40	$2,028.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $66.42 / $85.29	Professional		$54.62	$66.42	$85.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $106.33 / $8,459.92	Facility		$90.38	$106.33	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $111.93 / $111.93	Professional		$107.86	$111.93	$111.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Facility		$80.29	$80.29	$80.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,249.62 / $38,249.62 / $38,249.62	Professional		$38,249.62	$38,249.62	$38,249.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $78.05 / $1,310.10	Facility		$40.70	$78.05	$1,310.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $934.82 / $2,028.84	Facility		$84.35	$934.82	$2,028.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $66.42 / $85.29	Professional		$52.34	$66.42	$85.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $201.75 / $299.56 / $410.96	Professional		$201.75	$299.56	$410.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Facility		$80.29	$80.29	$80.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
United Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $64.38 / $137.11	Professional		$52.54	$64.38	$137.11