Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $36.56	Facility		$0.02	$0.05	$36.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $12.80 / $13.33	Professional		$11.73	$12.80	$13.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $6.48 / $6.48	Professional		$6.48	$6.48	$6.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $74.12 / $96.25 / $8,639.91	Facility		$74.12	$96.25	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $15.62 / $15.62	Professional		$15.62	$15.62	$15.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.08 / $34.63 / $119.53	Facility		$1.08	$34.63	$119.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $25.81 / $43.28	Professional		$9.16	$25.81	$43.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $27.31	Professional		$16.60	$16.60	$27.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $7.92 / $25.52	Facility		$7.92	$7.92	$25.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.04 / $41.90	Facility		$0.02	$0.04	$41.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $13.33 / $13.51	Professional		$0.02	$13.33	$13.51
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $34.63 / $119.53	Facility		$1.33	$34.63	$119.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $25.81 / $43.28	Professional		$9.16	$25.81	$43.28
United Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $20.54 / $57.39	Professional		$9.01	$20.54	$57.39