Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $119.99 / $345.00	Facility		$41.40	$119.99	$345.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $87.35 / $106.08	Professional		$74.02	$87.35	$106.08
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,414.93 / $1,414.93 / $1,414.93	Facility		$1,414.93	$1,414.93	$1,414.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $112.33 / $112.33	Professional		$95.48	$112.33	$112.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $87.12	Professional		$87.12	$87.12	$87.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.18 / $242.00 / $452.38	Facility		$79.18	$242.00	$452.38
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $131.21 / $1,414.93	Facility		$123.98	$131.21	$1,414.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $49.51 / $131.79 / $350.00	Facility		$49.51	$131.79	$350.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $87.35 / $129.05	Professional		$74.01	$87.35	$129.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $111.60 / $111.60 / $111.60	Facility		$111.60	$111.60	$111.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $87.12	Professional		$87.12	$87.12	$87.12