Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.05	Facility		$0.02	$0.05	$0.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $19.66 / $19.66	Professional		$0.02	$19.66	$19.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $4.36	Professional		$4.36	$4.36	$4.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $141.09 / $183.22 / $8,639.91	Facility		$141.09	$183.22	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $31.86 / $31.86	Professional		$31.86	$31.86	$31.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $29.11 / $43.37	Professional		$17.75	$29.11	$43.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $68.45 / $369.85	Facility		$10.29	$68.45	$369.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $22.56 / $22.56	Professional		$22.56	$22.56	$22.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.05	Facility		$0.02	$0.03	$0.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.04	Professional		$0.02	$0.03	$0.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.29 / $29.11 / $43.37	Professional		$23.29	$29.11	$43.37
United Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $14.50 / $37.77	Professional		$9.52	$14.50	$37.77