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 $65.59 / $85.17 / $8,639.91	Facility		$65.59	$85.17	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $14.81 / $14.81	Professional		$14.81	$14.81	$14.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $27.16 / $29.11	Professional		$17.75	$27.16	$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 / $744.00	Facility		$7.92	$61.64	$744.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29
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 $22.30 / $27.16 / $29.11	Professional		$22.30	$27.16	$29.11
United Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $14.50 / $34.99	Professional		$9.52	$14.50	$34.99