Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
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 $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $23.44 / $36.31	Professional		$11.48	$23.44	$36.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
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