Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $154.88 / $208.93	Facility		$77.62	$154.88	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $371.54	Professional		$120.23	$162.18	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $154.88	Professional		$147.91	$147.91	$154.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $194.98 / $5,011.87	Facility		$165.96	$194.98	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $154.88 / $208.93	Facility		$77.62	$154.88	$208.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $389.05	Professional		$141.25	$165.96	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $239.88	Professional		$162.18	$194.98	$239.88