Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $2.22	Facility		$1.75	$1.75	$2.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $1.82	Professional		$1.75	$1.75	$1.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.13 / $1.13	Professional		$1.09	$1.13	$1.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.11 / $4.26	Facility		$2.11	$2.11	$4.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $2.22	Facility		$1.75	$1.75	$2.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $1.92	Professional		$1.75	$1.75	$1.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.48 / $1.60	Professional		$1.00	$1.48	$1.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20