Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $16.98 / $27.54	Facility		$7.08	$16.98	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $12.88	Professional		$6.03	$7.08	$12.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $43.65	Professional		$15.49	$15.49	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $22.91	Professional		$20.89	$20.89	$22.91
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.89	Professional		$20.42	$20.42	$20.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $16.98 / $27.54	Facility		$7.08	$16.98	$27.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $13.80	Professional		$6.03	$7.94	$13.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $28.18	Professional		$0.60	$0.60	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $8.71 / $13.18	Facility		$6.76	$8.71	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.33 / $16.60	Professional		$7.24	$9.33	$16.60