Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $1.47 / $78.19	Facility		$0.02	$1.47	$78.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.04 / $0.66	Professional		$0.02	$0.04	$0.66
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $147.07 / $231.16 / $314.89	Facility		$147.07	$231.16	$314.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $8,639.91	Facility		$0.02	$0.02	$8,639.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.14	Professional		$0.02	$0.02	$0.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $5.01	Professional		$0.02	$0.02	$5.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.75 / $8.30	Facility		$0.13	$0.75	$8.30
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $147.07 / $231.16 / $314.89	Facility		$147.07	$231.16	$314.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $1.63 / $80.87	Facility		$0.02	$1.63	$80.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.70	Professional		$0.02	$0.03	$0.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $819.61 / $845.96 / $1,042.19	Facility		$819.61	$845.96	$1,042.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.14	Professional		$0.02	$0.02	$0.14
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $5.15	Professional		$0.02	$0.02	$5.15