Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $77.00	Professional		$70.00	$70.00	$77.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $65.75 / $81.61	Professional		$63.82	$65.75	$81.61
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 $71.06 / $73.75 / $73.75	Professional		$71.06	$73.75	$73.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $65.75 / $81.61	Professional		$63.82	$65.75	$81.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $149.80	Professional		$70.00	$70.00	$149.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $42.20 / $48.10	Professional		$42.20	$42.20	$48.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $163.00 / $216.00	Professional		$131.00	$163.00	$216.00