Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.26 / $1.48	Facility		$1.00	$1.26	$1.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.51 / $1.32	Professional		$0.25	$0.51	$1.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.02 / $40.74	Professional		$2.51	$3.02	$40.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.28 / $5,011.87	Facility		$0.25	$0.28	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $0.51 / $0.51	Facility		$0.51	$0.51	$0.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $0.51 / $0.51	Professional		$0.47	$0.51	$0.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.14	Professional		$0.14	$0.14	$0.14
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $0.51	Professional		$0.50	$0.50	$0.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.26 / $1.48	Facility		$1.00	$1.26	$1.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $1.02 / $3.16	Professional		$0.25	$1.02	$3.16
United Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.30 / $0.71	Facility		$0.08	$0.30	$0.71
United Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.50 / $0.60	Professional		$0.20	$0.50	$0.60