Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.13 / $107.79 / $107.79	Facility		$96.13	$107.79	$107.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $107.62 / $114.56	Professional		$89.67	$107.62	$114.56
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 $101.15 / $104.96 / $104.96	Professional		$101.15	$104.96	$104.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,234.40 / $1,234.40 / $1,234.40	Facility		$1,234.40	$1,234.40	$1,234.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $107.79 / $107.79 / $107.79	Facility		$107.79	$107.79	$107.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.93 / $107.63 / $203.01	Professional		$91.93	$107.63	$203.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $125.70 / $125.70	Professional		$125.10	$125.70	$125.70