Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Facility		$66.00	$66.00	$66.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $16.36 / $55.20	Professional		$3.32	$16.36	$55.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $15.47 / $26.60	Professional		$12.90	$15.47	$26.60
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $27.93 / $27.93	Professional		$27.93	$27.93	$27.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Professional		$14.28	$14.28	$14.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $23.90 / $23.90	Professional		$23.90	$23.90	$23.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $17.63 / $26.49	Professional		$14.85	$17.63	$26.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Facility		$66.00	$66.00	$66.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $16.03 / $52.00	Professional		$3.18	$16.03	$52.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $12.22 / $15.00	Professional		$12.22	$12.22	$15.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $213.95 / $221.08 / $307.55	Facility		$213.95	$221.08	$307.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $19.80 / $24.76	Professional		$12.22	$19.80	$24.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Professional		$14.28	$14.28	$14.28
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.81 / $32.08	Professional		$14.74	$20.81	$32.08