Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $13,355.37 / $24,373.94	Facility		$1,053.85	$13,355.37	$24,373.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $1,053.85 / $1,053.85	Professional		$991.87	$1,053.85	$1,053.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,005.85 / $5,889.24 / $8,833.86	Facility		$5,005.85	$5,889.24	$8,833.86
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5,889.24 / $5,889.24 / $5,889.24	Professional		$5,889.24	$5,889.24	$5,889.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,027.02 / $2,081.79 / $3,384.87	Facility		$1,027.02	$2,081.79	$3,384.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,601.86 / $12,062.55 / $18,240.21	Facility		$1,601.86	$12,062.55	$18,240.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $1,053.85 / $1,183.43	Professional		$991.87	$1,053.85	$1,183.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.14 / $1,967.94 / $2,454.84	Professional		$1,054.14	$1,967.94	$2,454.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,348.33	Professional		$1,033.20	$1,033.20	$1,348.33