Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.16 / $1,706.25 / $3,802.53	Facility		$533.16	$1,706.25	$3,802.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.78 / $507.78 / $883.94	Professional		$507.78	$507.78	$883.94
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $475.26 / $852.95 / $8,225.85	Facility		$475.26	$852.95	$8,225.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.34 / $489.34 / $489.34	Professional		$489.34	$489.34	$489.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,003.18 / $1,779.54 / $3,341.70	Facility		$1,003.18	$1,779.54	$3,341.70
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $479.41 / $921.98 / $4,902.41	Facility		$479.41	$921.98	$4,902.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $726.77 / $1,807.88 / $3,864.75	Facility		$726.77	$1,807.88	$3,864.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $507.78 / $507.78 / $951.82	Professional		$507.78	$507.78	$951.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,287.85 / $4,117.64 / $6,008.52	Facility		$3,287.85	$4,117.64	$6,008.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,901.60 / $1,901.60 / $1,901.60	Professional		$1,901.60	$1,901.60	$1,901.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $489.34 / $489.34 / $489.34	Professional		$489.34	$489.34	$489.34