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 / $11.48	Professional		$4.37	$10.72	$11.48
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 $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $27.54 / $36.31	Professional		$11.48	$27.54	$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 / $56.23 / $870.96	Facility		$7.94	$56.23	$870.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
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 / $12.30 / $16.60	Facility		$9.55	$12.30	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.49 / $33.88	Professional		$10.00	$15.49	$33.88