Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $1,741.00 / $8,017.00	Facility		$247.00	$1,741.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $247.50 / $1,861.60	Professional		$80.00	$247.50	$1,861.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $64,999.35 / $64,999.35	Professional		$55,249.45	$64,999.35	$64,999.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $55,249.45	Professional		$55,249.45	$55,249.45	$55,249.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $890.62 / $5,281.90	Facility		$80.81	$890.62	$5,281.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $329.00 / $787.85	Professional		$329.00	$329.00	$787.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,422.00 / $8,017.00	Facility		$494.00	$2,422.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $325.00 / $1,978.00	Professional		$82.50	$325.00	$1,978.00
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00