Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.74 / $5,526.00 / $9,478.12	Facility		$194.74	$5,526.00	$9,478.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.70 / $194.88 / $837.94	Professional		$173.70	$194.88	$837.94
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 $303.00 / $303.00 / $303.00	Professional		$303.00	$303.00	$303.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,426.50 / $2,071.88 / $5,644.22	Facility		$1,426.50	$2,071.88	$5,644.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $801.17 / $5,603.28 / $10,180.81	Facility		$801.17	$5,603.28	$10,180.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.70 / $210.73 / $1,426.00	Professional		$173.70	$210.73	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.10 / $223.10 / $349.30	Professional		$223.10	$223.10	$349.30