Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $7,943.28 / $17,378.01	Facility		$1,047.13	$7,943.28	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $1,230.27	Professional		$1,000.00	$1,023.29	$1,230.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $6,165.95 / $7,762.47	Facility		$5,248.07	$6,165.95	$7,762.47
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,096.48	Professional		$933.25	$1,096.48	$1,096.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $3,090.30	Facility		$1,023.29	$1,621.81	$3,090.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $8,709.64 / $16,982.44	Facility		$1,047.13	$8,709.64	$16,982.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,412.54	Professional		$1,000.00	$1,047.13	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $3,019.95	Professional		$0.60	$0.60	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,288.25	Professional		$1,023.29	$1,096.48	$1,288.25