Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $10.72 / $10.72	Professional		$4.37	$10.72	$10.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $194.98 / $5,011.87	Facility		$147.91	$194.98	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $28.84 / $43.65	Professional		$11.48	$28.84	$43.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $69.18 / $371.54	Facility		$10.23	$69.18	$371.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $44.67	Professional		$19.05	$19.05	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $12.02 / $16.60	Facility		$9.55	$12.02	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.14 / $33.88	Professional		$9.55	$15.14	$33.88