Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.31 / $4.11	Facility		$0.03	$0.31	$4.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $23.72 / $50.78	Facility		$0.03	$23.72	$50.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.12 / $8,639.91	Facility		$0.10	$0.12	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.34	Professional		$0.03	$0.03	$0.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.43 / $5.21	Facility		$0.06	$0.43	$5.21
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $23.72 / $50.78	Facility		$0.03	$23.72	$50.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.26 / $4.12	Facility		$0.03	$0.26	$4.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.05	Professional		$0.02	$0.02	$0.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $4.09	Professional		$0.10	$0.10	$4.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Professional		$0.02	$0.02	$0.04