Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $56,247.94 / $75,246.91	Facility		$26.44	$56,247.94	$75,246.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $26.44 / $26.44	Professional		$24.89	$26.44	$26.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.56 / $31.11 / $8,639.91	Facility		$26.56	$31.11	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $31.11	Professional		$31.11	$31.11	$31.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.11 / $31.11 / $31.11	Facility		$31.11	$31.11	$31.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $32.29	Professional		$31.11	$31.11	$32.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $33.75 / $38.92	Professional		$32.29	$33.75	$38.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $217.03 / $683.42	Facility		$46.07	$217.03	$683.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $15,107.54 / $81,293.96	Facility		$26.44	$15,107.54	$81,293.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $26.44 / $31.46	Professional		$24.89	$26.44	$31.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $52.10 / $62.80	Professional		$28.00	$52.10	$62.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $31.11 / $31.11 / $31.11	Facility		$31.11	$31.11	$31.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $32.92	Professional		$31.11	$31.11	$32.92
United Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $40.60	Professional		$31.11	$31.11	$40.60