Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $7.73 / $65,382.91	Facility		$7.14	$7.73	$65,382.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $7.73 / $21.13	Professional		$6.39	$7.73	$21.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $40.84 / $47.84 / $8,459.92	Facility		$40.84	$47.84	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $50.36 / $50.36	Professional		$50.36	$50.36	$50.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Facility		$9.35	$9.35	$9.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
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 $58.58 / $58.58 / $58.58	Facility		$58.58	$58.58	$58.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $6,199.88 / $65,382.91	Facility		$7.14	$6,199.88	$65,382.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $8.15 / $21.13	Professional		$6.36	$8.15	$21.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $36.00 / $39.44	Professional		$24.63	$36.00	$39.44
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Facility		$9.35	$9.35	$9.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
United Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $7.30 / $11.50	Professional		$5.80	$7.30	$11.50