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 / $10.67	Professional		$4.36	$4.36	$10.67
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $19.63 / $19.63	Professional		$19.63	$19.63	$19.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $27.26 / $34.07	Professional		$17.75	$27.26	$34.07
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 $28.33 / $71.37 / $448.54	Facility		$28.33	$71.37	$448.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
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 / $27.26 / $34.07	Professional		$23.29	$27.26	$34.07
United Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $16.16 / $32.33	Facility		$16.16	$16.16	$32.33
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $15.56 / $40.61	Professional		$10.19	$15.56	$40.61