Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.62 / $462.50 / $600.86	Facility		$199.62	$462.50	$600.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $217.62	Professional		$197.83	$197.83	$217.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $182.44 / $214.63 / $321.95	Facility		$182.44	$214.63	$321.95
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $205.30 / $205.30 / $205.30	Professional		$205.30	$205.30	$205.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.63 / $197.83 / $197.83	Facility		$186.63	$197.83	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $205.30	Professional		$197.83	$197.83	$205.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $189.86 / $189.86 / $247.47	Professional		$189.86	$189.86	$247.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.11 / $356.77 / $527.76	Facility		$122.11	$356.77	$527.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $199.62 / $337.36 / $600.86	Facility		$199.62	$337.36	$600.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $199.81 / $308.33	Professional		$197.83	$199.81	$308.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $296.75 / $406.40	Professional		$27.40	$296.75	$406.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $186.63 / $197.83 / $197.83	Facility		$186.63	$197.83	$197.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $209.60	Professional		$197.83	$197.83	$209.60
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $209.70 / $273.20	Professional		$197.83	$209.70	$273.20