Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.91 / $4,264.00 / $9,476.60	Facility		$162.91	$4,264.00	$9,476.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $163.00 / $186.53	Professional		$145.28	$163.00	$186.53
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 $263.00 / $263.00 / $263.00	Professional		$263.00	$263.00	$263.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.30 / $1,116.36 / $3,726.23	Facility		$584.30	$1,116.36	$3,726.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $5,147.78 / $9,476.60	Facility		$657.00	$5,147.78	$9,476.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $169.58 / $483.84	Professional		$145.28	$169.58	$483.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $172.00 / $308.80	Professional		$172.00	$172.00	$308.80