Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $1,201.89 / $15,448.01	Facility		$624.36	$1,201.89	$15,448.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.63 / $624.36 / $624.36	Professional		$587.63	$624.36	$624.36
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 $624.36 / $624.36 / $624.36	Facility		$624.36	$624.36	$624.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,045.70 / $1,199.63 / $3,869.04	Facility		$1,045.70	$1,199.63	$3,869.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $14,933.55 / $15,448.01	Facility		$624.36	$14,933.55	$15,448.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $587.63 / $624.36 / $634.29	Professional		$587.63	$624.36	$634.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $785.14 / $1,580.71 / $1,971.91	Professional		$785.14	$1,580.71	$1,971.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Facility		$624.36	$624.36	$624.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $798.80	Professional		$612.11	$612.11	$798.80