Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $676.08 / $676.08	Facility		$660.69	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $776.25	Professional		$660.69	$660.69	$776.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $831.76 / $5,011.87	Facility		$707.95	$831.76	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $691.83	Professional		$660.69	$660.69	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $724.44 / $851.14	Professional		$154.88	$724.44	$851.14
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $1,023.29	Professional		$123.03	$177.83	$1,023.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $676.08 / $676.08	Facility		$660.69	$676.08	$676.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $794.33	Professional		$660.69	$660.69	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $229.09 / $245.47	Professional		$0.60	$229.09	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $660.69 / $1,000.00	Professional		$125.89	$660.69	$1,000.00