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 $10.67 / $10.67 / $10.67	Professional		$10.67	$10.67	$10.67
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $53.81 / $69.88 / $8,639.91	Facility		$53.81	$69.88	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $12.15 / $12.15	Professional		$12.15	$12.15	$12.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $23.29 / $29.11	Professional		$16.93	$23.29	$29.11
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 $7.92 / $61.64 / $217.60	Facility		$7.92	$61.64	$217.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $10.91 / $10.91	Professional		$10.91	$10.91	$10.91
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 $16.93 / $23.29 / $29.11	Professional		$16.93	$23.29	$29.11
United Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $14.50 / $33.99	Professional		$9.27	$14.50	$33.99