Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,445.44 / $1,445.44	Facility		$1,412.54	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,548.82	Professional		$1,412.54	$1,412.54	$1,548.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,819.70	Facility		$1,230.27	$1,445.44	$1,819.70
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,479.11	Professional		$1,412.54	$1,412.54	$1,479.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,258.93 / $1,479.11	Professional		$154.88	$1,258.93	$1,479.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $218.78	Professional		$120.23	$158.49	$218.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,445.44 / $1,445.44	Facility		$1,412.54	$1,445.44	$1,445.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,584.89	Professional		$1,412.54	$1,412.54	$1,584.89
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 / $1,230.27 / $1,479.11	Professional		$125.89	$1,230.27	$1,479.11