Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.91 / $1.91	Facility		$1.48	$1.91	$1.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.91 / $1.95	Professional		$1.91	$1.91	$1.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $0.87 / $5,011.87	Facility		$0.74	$0.87	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $0.87 / $0.87	Professional		$0.87	$0.87	$0.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.83 / $0.83	Facility		$0.83	$0.83	$0.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $0.83	Professional		$0.83	$0.83	$0.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $3.98 / $4.37	Professional		$0.39	$3.98	$4.37
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.33 / $0.71	Professional		$0.30	$0.33	$0.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $1.91 / $1.91	Facility		$1.91	$1.91	$1.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.91 / $1.95	Professional		$1.91	$1.91	$1.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.83 / $0.87	Professional		$0.71	$0.83	$0.87