Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $323.59	Professional		$251.19	$323.59	$323.59
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 $181.97 / $186.21 / $186.21	Professional		$181.97	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $323.59	Professional		$251.19	$323.59	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $426.58 / $524.81	Facility		$223.87	$426.58	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $223.87	Professional		$186.21	$223.87	$223.87