Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,505.00 / $7,629.00	Facility		$617.00	$2,505.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.74 / $641.00 / $7,500.00	Professional		$543.74	$641.00	$7,500.00
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 $490.50 / $1,042.47 / $3,569.97	Facility		$490.50	$1,042.47	$3,569.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,483.00 / $7,799.00	Facility		$641.00	$2,483.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $543.74 / $1,234.00 / $7,500.00	Professional		$543.74	$1,234.00	$7,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00