Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $360.96 / $493.50	Facility		$34.90	$360.96	$493.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $14.66 / $23.62	Professional		$9.10	$14.66	$23.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $44.41 / $44.41	Professional		$44.41	$44.41	$44.41
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $22.29 / $22.29	Professional		$21.48	$22.29	$22.29
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 $8.38 / $8.38 / $8.38	Professional		$8.38	$8.38	$8.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $54.06 / $54.72	Facility		$54.06	$54.06	$54.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $360.96 / $493.50	Facility		$34.90	$360.96	$493.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $14.66 / $29.55	Professional		$10.78	$14.66	$29.55
Optum Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $23.21	Professional		$15.00	$15.00	$23.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $23.21	Professional		$15.00	$15.00	$23.21
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 $8.38 / $8.38 / $8.38	Professional		$8.38	$8.38	$8.38
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $23.21	Professional		$15.00	$15.00	$23.21