Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $123.03 / $371.54	Facility		$109.65	$123.03	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $295.12	Professional		$107.15	$125.89	$295.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,011.87 / $57,543.99	Facility		$2,754.23	$5,011.87	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,089.30 / $5,495.41	Facility		$1,000.00	$2,089.30	$5,495.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $123.03 / $371.54	Facility		$109.65	$123.03	$371.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $295.12	Professional		$107.15	$128.82	$295.12
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 / $147.91 / $147.91	Professional		$0.60	$147.91	$147.91