Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $19.05	Facility		$16.98	$16.98	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $26.92	Professional		$15.85	$19.05	$26.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $77,624.71	Facility		$8,511.38	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.14 / $15.14	Professional		$14.79	$15.14	$15.14
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $28.18	Professional		$15.14	$19.05	$28.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $28.84	Facility		$24.55	$24.55	$28.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $24.55 / $34.67	Professional		$0.60	$24.55	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $52.48	Professional		$25.12	$34.67	$52.48