Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,754.40 / $8,511.38	Facility		$831.76	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $371.54	Professional		$218.78	$251.19	$371.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $245.47	Professional		$234.42	$245.47	$245.47
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $309.03	Professional		$218.78	$218.78	$309.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $724.44	Professional		$213.80	$263.03	$724.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $295.12 / $295.12	Professional		$0.60	$295.12	$295.12