Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $323.59	Professional		$204.17	$245.47	$323.59
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 $245.47 / $257.04 / $257.04	Professional		$245.47	$257.04	$257.04
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $338.84	Professional		$194.98	$245.47	$338.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $275.42	Professional		$0.60	$0.60	$275.42