Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $512.86 / $1,096.48	Facility		$316.23	$512.86	$1,096.48
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $331.13 / $331.13	Facility		$288.40	$331.13	$331.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $1,096.48	Facility		$323.59	$512.86	$1,096.48
Optum Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $331.13 / $478.63	Facility		$269.15	$331.13	$478.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $316.23 / $467.74	Facility		$269.15	$316.23	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $331.13 / $478.63	Facility		$269.15	$331.13	$478.63