Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $160.30 / $453.68	Facility		$14.33	$160.30	$453.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $14.33 / $27.90	Professional		$3.40	$14.33	$27.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $10.79 / $8,459.92	Facility		$9.17	$10.79	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Professional		$10.79	$10.79	$10.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Facility		$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Professional		$17.32	$17.32	$17.32
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 $23.02 / $76.58 / $123.03	Facility		$23.02	$76.58	$123.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $147.00 / $421.43	Facility		$37.95	$147.00	$421.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $14.33 / $27.90	Professional		$3.40	$14.33	$27.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.28 / $245.44 / $336.76	Professional		$165.28	$245.44	$336.76
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Facility		$17.32	$17.32	$17.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Professional		$17.32	$17.32	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $20.38 / $28.14	Professional		$20.38	$20.38	$28.14