Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.91 / $28.01 / $44.85	Facility		$24.91	$28.01	$44.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $35.75 / $198.16	Professional		$22.62	$35.75	$198.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $30.83 / $56.24	Professional		$23.60	$30.83	$56.24
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $582.91 / $582.91 / $717.49	Professional		$582.91	$582.91	$717.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $31.92 / $49.86	Professional		$27.13	$31.92	$49.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $39.47 / $60.21	Professional		$28.07	$39.47	$60.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.83 / $64.83 / $64.83	Facility		$64.83	$64.83	$64.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $45.01 / $62.86	Professional		$35.01	$45.01	$62.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $22.39 / $29.85	Facility		$18.00	$22.39	$29.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $32.90 / $50.90	Professional		$10.90	$32.90	$50.90
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $582.91 / $582.91 / $717.49	Professional		$582.91	$582.91	$717.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.99 / $28.01 / $44.85	Facility		$25.99	$28.01	$44.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $47.36 / $194.83	Professional		$25.23	$47.36	$194.83
Optum Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $34.29 / $45.83	Professional		$31.18	$34.29	$45.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $35.70 / $35.70	Facility		$35.70	$35.70	$35.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $35.70 / $63.30	Professional		$29.62	$35.70	$63.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $39.47 / $61.50	Professional		$28.07	$39.47	$61.50
United Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $37.65 / $63.32	Professional		$29.30	$37.65	$63.32