Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $14.76 / $93.81	Facility		$2.29	$14.76	$93.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.77 / $0.98	Professional		$0.75	$0.77	$0.98
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.82 / $2,861.61 / $6,126.85	Facility		$0.82	$2,861.61	$6,126.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $1.10 / $8,639.91	Facility		$0.94	$1.10	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $0.77 / $0.77	Facility		$0.77	$0.77	$0.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.77 / $0.77	Professional		$0.77	$0.77	$0.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $4.93 / $12.61	Facility		$1.20	$4.93	$12.61
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.82 / $3,625.43 / $6,126.85	Facility		$0.82	$3,625.43	$6,126.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $21.13 / $95.62	Facility		$1.91	$21.13	$95.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.77 / $1.99	Professional		$0.77	$0.77	$1.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,128.96 / $15,526.39 / $39,712.36	Facility		$6,128.96	$15,526.39	$39,712.36
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $0.77 / $0.77	Facility		$0.77	$0.77	$0.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.77 / $0.77	Professional		$0.77	$0.77	$0.77
United Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $1.59 / $1.59	Facility		$1.59	$1.59	$1.59
United Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.75 / $1.29	Professional		$0.75	$0.75	$1.29