Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $60.26	Professional		$34.67	$42.66	$60.26
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 $52.48 / $53.70 / $53.70	Professional		$52.48	$53.70	$53.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $60.26	Professional		$34.67	$41.69	$60.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $81.28	Professional		$0.60	$0.60	$81.28