Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.23 / $0.60	Facility		$0.10	$0.23	$0.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.13	Professional		$0.12	$0.12	$0.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.04 / $8,639.91	Facility		$0.03	$0.04	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Professional		$0.04	$0.04	$0.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.13 / $0.13	Facility		$0.13	$0.13	$0.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.13	Professional		$0.13	$0.13	$0.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.17 / $0.60	Facility		$0.10	$0.17	$0.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $0.17	Professional		$0.10	$0.12	$0.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $2.70	Professional		$2.70	$2.70	$2.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.13 / $0.13	Facility		$0.13	$0.13	$0.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.13	Professional		$0.13	$0.13	$0.13
United Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.16	Professional		$0.13	$0.13	$0.16