Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $3,839.00 / $8,104.00	Facility		$1,084.00	$3,839.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,917.60 / $1,917.60 / $2,843.00	Professional		$1,917.60	$1,917.60	$2,843.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,504.25 / $4,504.25 / $4,504.25	Professional		$4,504.25	$4,504.25	$4,504.25
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 Professional Modifier Low / Median / High Price $183.50 / $183.50 / $183.50	Professional		$183.50	$183.50	$183.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,068.00 / $8,247.00	Facility		$1,020.00	$4,068.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $485.00 / $1,641.00 / $5,823.00	Professional		$485.00	$1,641.00	$5,823.00
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 $1,463.00 / $4,504.25 / $4,504.25	Professional		$1,463.00	$4,504.25	$4,504.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,530.00 / $3,879.00 / $7,000.00	Facility		$1,530.00	$3,879.00	$7,000.00