Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $14,454.40 / $22,387.21	Facility		$8,709.64	$14,454.40	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,511.38 / $10,232.93	Professional		$8,128.31	$8,511.38	$10,232.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,623.41 / $8,511.38	Facility		$4,786.30	$5,623.41	$8,511.38
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Professional		$8,912.51	$8,912.51	$8,912.51
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $1,288.25	Professional		$346.74	$467.74	$1,288.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $12,882.50 / $21,379.62	Facility		$8,709.64	$12,882.50	$21,379.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,709.64 / $11,748.98	Professional		$8,128.31	$8,709.64	$11,748.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $30.20	Professional		$0.60	$0.60	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,912.51 / $10,471.29	Professional		$8,511.38	$8,912.51	$10,471.29