Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.00 / $2,578.00 / $7,629.00	Facility		$806.00	$2,578.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.60 / $1,446.00 / $4,573.00	Professional		$283.60	$1,446.00	$4,573.00
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $800.00 / $2,269.00	Facility		$495.00	$800.00	$2,269.00
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 $63.58 / $630.66 / $1,401.59	Facility		$63.58	$630.66	$1,401.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $745.04 / $2,467.00 / $7,799.00	Facility		$745.04	$2,467.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $800.00 / $5,457.00	Professional		$315.00	$800.00	$5,457.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $800.00 / $2,269.00	Facility		$495.00	$800.00	$2,269.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $441.00 / $441.00	Professional		$441.00	$441.00	$441.00
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $512.00 / $3,000.00	Facility		$89.00	$512.00	$3,000.00