Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.24 / $2,494.90 / $5,050.52	Facility		$106.24	$2,494.90	$5,050.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $101.40 / $111.66	Professional		$93.21	$101.40	$111.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,632.00 / $5,000.00 / $57,255.43	Facility		$2,632.00	$5,000.00	$57,255.43
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $157.00	Professional		$157.00	$157.00	$157.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $127.87 / $127.87	Professional		$99.16	$127.87	$127.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $778.54 / $2,707.82 / $5,297.29	Facility		$778.54	$2,707.82	$5,297.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $173.42 / $3,635.84 / $5,905.85	Facility		$173.42	$3,635.84	$5,905.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $106.24 / $227.35	Professional		$93.21	$106.24	$227.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $154.40	Professional		$86.00	$86.00	$154.40