Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $32.36 / $38.02	Facility		$13.80	$32.36	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $15.85	Professional		$12.02	$12.88	$15.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.49 / $5,011.87	Facility		$13.18	$15.49	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
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 $13.18 / $13.18 / $18.62	Professional		$13.18	$13.18	$18.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $20.89 / $38.02	Facility		$13.80	$20.89	$38.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $18.20	Professional		$12.02	$12.88	$18.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $30.20	Professional		$0.60	$0.60	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $16.22	Professional		$13.18	$13.18	$16.22