Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.05 / $1.41	Professional		$1.05	$1.05	$1.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $0.65 / $5,011.87	Facility		$0.55	$0.65	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.65	Professional		$0.65	$0.65	$0.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Facility		$0.28	$0.28	$0.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
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 $0.19 / $0.19 / $0.28	Professional		$0.19	$0.19	$0.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.05 / $1.41	Professional		$1.05	$1.05	$1.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.60 / $0.60	Professional		$0.34	$0.60	$0.60
United Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.39 / $0.44	Professional		$0.35	$0.39	$0.44