Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $2,505.00 / $8,104.00	Facility		$953.00	$2,505.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $1,388.73 / $3,978.00	Professional		$89.01	$1,388.73	$3,978.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
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 $907.62 / $2,546.28 / $8,632.19	Facility		$907.62	$2,546.28	$8,632.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $587.50 / $750.00	Professional		$249.00	$587.50	$750.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $806.00 / $2,578.00 / $8,017.00	Facility		$806.00	$2,578.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $1,234.00 / $3,978.00	Professional		$100.25	$1,234.00	$3,978.00
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 $1,654.00 / $1,654.00 / $1,654.00	Professional		$1,654.00	$1,654.00	$1,654.00
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00