Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,548.82 / $1,548.82	Facility		$776.25	$1,548.82	$1,548.82
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,288.25	Facility		$912.01	$1,047.13	$1,288.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,548.82	Facility		$776.25	$776.25	$1,548.82
Optum Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $707.95 / $1,000.00	Facility		$676.08	$707.95	$1,000.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $707.95 / $1,000.00	Facility		$676.08	$707.95	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $9,549.93 / $18,197.01	Facility		$1,348.96	$9,549.93	$18,197.01