Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $96.25 / $4,203.27	Facility		$2.88	$96.25	$4,203.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.75 / $2.75	Professional		$2.59	$2.75	$2.75
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $6,259.34 / $13,401.55	Facility		$4.79	$6,259.34	$13,401.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $16.51 / $8,459.92	Facility		$14.09	$16.51	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $16.51 / $16.51	Professional		$16.51	$16.51	$16.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $85.00	Facility		$2.75	$2.75	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $22.61 / $72.13	Facility		$3.08	$22.61	$72.13
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $7.86 / $12,867.08	Facility		$4.79	$7.86	$12,867.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $95.00 / $4,203.27	Facility		$3.02	$95.00	$4,203.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.75 / $4.04	Professional		$2.59	$2.75	$4.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $28.18 / $51.38	Professional		$17.98	$28.18	$51.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $85.00	Facility		$2.75	$2.75	$85.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
United Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $9.59 / $9.59	Facility		$9.59	$9.59	$9.59
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $3.52	Professional		$2.70	$2.70	$3.52