Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $15.50 / $57.15	Facility		$2.40	$15.50	$57.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.92 / $0.92	Professional		$0.84	$0.92	$0.92
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.06 / $588.99	Facility		$0.90	$1.06	$588.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $1.04 / $8,639.91	Facility		$0.88	$1.04	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $1.04 / $1.04	Professional		$1.04	$1.04	$1.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.92 / $0.92 / $0.92	Facility		$0.92	$0.92	$0.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $0.92 / $0.92	Professional		$0.92	$0.92	$0.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.92 / $4.57 / $9.49	Facility		$0.92	$4.57	$9.49
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.03 / $565.50	Facility		$0.90	$1.03	$565.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $18.00 / $66.68	Facility		$2.08	$18.00	$66.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.92 / $1.67	Professional		$0.84	$0.92	$1.67
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.92 / $0.92 / $0.92	Facility		$0.92	$0.92	$0.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $0.92 / $0.92	Professional		$0.92	$0.92	$0.92
United Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $1.65	Professional		$0.90	$0.90	$1.65