Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.61 / $211.45 / $5,319.60	Facility		$110.61	$211.45	$5,319.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.61 / $124.10 / $140.32	Professional		$110.61	$124.10	$140.32
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 $195.00 / $195.00 / $195.00	Professional		$195.00	$195.00	$195.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $997.84 / $1,995.67 / $5,539.35	Facility		$997.84	$1,995.67	$5,539.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $795.24 / $3,136.54	Facility		$110.60	$795.24	$3,136.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $110.61 / $127.56 / $368.30	Professional		$110.61	$127.56	$368.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $142.69 / $249.70	Professional		$142.69	$142.69	$249.70