Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.04 / $0.05	Facility		$0.02	$0.04	$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 $76.54 / $99.39 / $8,639.91	Facility		$76.54	$99.39	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $17.28 / $17.28	Professional		$17.28	$17.28	$17.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $25.30 / $29.11	Professional		$17.75	$25.30	$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 / $8.83 / $744.00	Facility		$7.92	$8.83	$744.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $15.51 / $15.51	Professional		$15.51	$15.51	$15.51
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 $20.23 / $25.30 / $29.11	Professional		$20.23	$25.30	$29.11
United Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $14.51 / $40.61	Professional		$9.52	$14.51	$40.61