Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $42.66 / $1,862.09	Facility		$41.69	$42.66	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $104.71	Professional		$40.74	$45.71	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $50.12	Professional		$37.15	$37.15	$50.12
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 $46.77 / $54.95 / $102.33	Professional		$46.77	$54.95	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $91.20	Professional		$47.86	$60.26	$91.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.02 / $66.07	Professional		$34.67	$38.02	$66.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $72.44 / $1,862.09	Facility		$41.69	$72.44	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $134.90	Professional		$41.69	$53.70	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $104.71	Professional		$47.86	$63.10	$104.71