Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.48 / $1.48	Facility		$1.48	$1.48	$1.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $1.48	Professional		$1.48	$1.48	$1.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.23 / $5,011.87	Facility		$0.20	$0.23	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Professional		$0.23	$0.23	$0.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Facility		$0.24	$0.24	$0.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Professional		$0.24	$0.24	$0.24
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Professional		$0.23	$0.23	$0.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.48 / $1.48	Facility		$1.48	$1.48	$1.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $1.48	Professional		$1.48	$1.48	$1.48
United Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.32	Professional		$0.23	$0.23	$0.32