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 $10.72 / $10.72 / $11.48	Professional		$10.72	$10.72	$11.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $74.13 / $5,011.87	Facility		$56.23	$74.13	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $23.44 / $36.31	Professional		$11.48	$23.44	$36.31
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 $7.94 / $61.66 / $776.25	Facility		$7.94	$61.66	$776.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
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 $7.76 / $12.02 / $16.60	Facility		$7.76	$12.02	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.45 / $31.62	Professional		$9.33	$14.45	$31.62