Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $19.05	Professional		$7.94	$10.96	$19.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.00 / $10.00	Professional		$9.55	$10.00	$10.00
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $17.78	Professional		$12.02	$12.02	$17.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $19.50 / $10,232.93	Facility		$18.20	$19.50	$10,232.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $20.89	Professional		$7.94	$10.96	$20.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $8.91 / $8.91	Professional		$0.60	$8.91	$8.91