Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $208.93 / $758.58	Facility		$70.79	$208.93	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $100.00	Professional		$61.66	$74.13	$100.00
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 $42.66 / $48.98 / $50.12	Professional		$42.66	$48.98	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $85.11	Professional		$44.67	$54.95	$85.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $208.93 / $676.08	Facility		$70.79	$208.93	$676.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $102.33	Professional		$61.66	$74.13	$102.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $7.76	Facility		$6.46	$6.46	$7.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $6.46 / $10.00	Professional		$0.60	$6.46	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $91.20	Professional		$38.02	$48.98	$91.20