Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $151.36	Professional		$91.20	$107.15	$151.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,011.87 / $57,543.99	Facility		$2,754.23	$5,011.87	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $104.71	Professional		$100.00	$104.71	$104.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $194.98	Professional		$89.13	$107.15	$194.98
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $125.89 / $125.89	Professional		$0.60	$125.89	$125.89