Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.75 / $2,667.00 / $7,197.00	Facility		$512.75	$2,667.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.25 / $1,070.00 / $4,573.00	Professional		$395.25	$1,070.00	$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 $68.13 / $609.52 / $2,688.07	Facility		$68.13	$609.52	$2,688.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,483.00 / $7,799.00	Facility		$594.00	$2,483.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $317.00 / $818.00 / $5,457.00	Professional		$317.00	$818.00	$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 $1,102.00 / $1,102.00 / $1,102.00	Professional		$1,102.00	$1,102.00	$1,102.00
United Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $541.00 / $3,742.00	Facility		$80.00	$541.00	$3,742.00