Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.79 / $147.91	Facility		$14.13	$14.79	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Professional		$14.13	$14.13	$16.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $27.54 / $5,011.87	Facility		$23.44	$27.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,018.94 / $38,018.94 / $38,018.94	Professional		$38,018.94	$38,018.94	$38,018.94
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $51.29	Professional		$30.20	$30.20	$51.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.79 / $147.91	Facility		$14.13	$14.79	$147.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $20.42	Professional		$14.13	$14.13	$20.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $30.20 / $100.00	Professional		$0.60	$30.20	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.66 / $69.18	Professional		$36.31	$61.66	$69.18