Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $7.16 / $9.18	Facility		$3.06	$7.16	$9.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.06 / $3.06	Professional		$2.88	$3.06	$3.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $49.01 / $8,459.92	Facility		$41.84	$49.01	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $49.01 / $49.01	Professional		$49.01	$49.01	$49.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Facility		$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Professional		$3.06	$3.06	$3.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $50.18 / $50.18	Professional		$1.52	$50.18	$50.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.08 / $164.16 / $254.69	Facility		$164.08	$164.16	$254.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $5.17 / $9.18	Facility		$3.06	$5.17	$9.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.06 / $4.62	Professional		$2.88	$3.06	$4.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $86.50 / $86.50	Facility		$86.50	$86.50	$86.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $86.50 / $107.10	Professional		$2.60	$86.50	$107.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Facility		$3.06	$3.06	$3.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Professional		$3.06	$3.06	$3.06
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $5.17	Professional		$3.00	$3.00	$5.17