Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.42 / $131.69 / $3,183.80	Facility		$117.42	$131.69	$3,183.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $117.42 / $144.88	Professional		$88.31	$117.42	$144.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $86.71 / $89.98 / $89.98	Professional		$86.71	$89.98	$89.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.15 / $200.15 / $847.51	Facility		$200.15	$200.15	$847.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $131.69 / $3,183.80	Facility		$131.69	$131.69	$3,183.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.65 / $118.68 / $144.88	Professional		$89.65	$118.68	$144.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $151.00 / $264.10	Professional		$151.00	$151.00	$264.10