Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.84 / $508.84 / $646.23	Facility		$508.84	$508.84	$646.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.91 / $508.84 / $508.84	Professional		$478.91	$508.84	$508.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $967.00 / $967.00	Facility		$967.00	$967.00	$967.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Facility		$508.84	$508.84	$508.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Professional		$508.84	$508.84	$508.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Professional		$508.84	$508.84	$508.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $508.84 / $508.84 / $727.64	Facility		$508.84	$508.84	$727.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $478.91 / $508.84 / $508.84	Professional		$478.91	$508.84	$508.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,286.70 / $1,703.55 / $1,962.63	Professional		$1,286.70	$1,703.55	$1,962.63
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Facility		$508.84	$508.84	$508.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Professional		$508.84	$508.84	$508.84
United Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $498.87 / $651.03	Professional		$498.87	$498.87	$651.03