Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $4,845.00 / $14,536.08	Facility		$1,426.00	$4,845.00	$14,536.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,081.75 / $4,698.12	Professional		$1,000.00	$2,081.75	$4,698.12
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 $3,784.79 / $5,472.96 / $17,232.93	Professional		$3,784.79	$5,472.96	$17,232.93
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 $6,872.84 / $17,246.49 / $39,318.42	Facility		$6,872.84	$17,246.49	$39,318.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,489.72 / $1,489.72 / $1,489.72	Professional		$1,489.72	$1,489.72	$1,489.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,119.00 / $4,543.00 / $13,526.78	Facility		$1,119.00	$4,543.00	$13,526.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $2,081.75 / $5,457.00	Professional		$700.00	$2,081.75	$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 $3,260.40 / $5,472.96 / $17,232.93	Professional		$3,260.40	$5,472.96	$17,232.93
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