Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,318.26 / $2,089.30	Facility		$724.44	$1,318.26	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $954.99	Professional		$691.83	$691.83	$954.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $741.31 / $5,011.87	Facility		$630.96	$741.31	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $707.95	Professional		$691.83	$691.83	$707.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $831.76	Professional		$691.83	$691.83	$831.76
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,380.38	Professional		$691.83	$891.25	$1,380.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,258.93 / $2,089.30	Facility		$691.83	$1,258.93	$2,089.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,148.15	Professional		$691.83	$691.83	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $30.20 / $933.25	Professional		$0.60	$30.20	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $831.76	Professional		$660.69	$724.44	$831.76