Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $2,667.00 / $8,017.00	Facility		$953.00	$2,667.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.00 / $1,427.50 / $3,048.00	Professional		$338.00	$1,427.50	$3,048.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,396.00 / $6,676.00	Facility		$3,736.00	$4,396.00	$6,676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $800.00 / $3,294.00	Facility		$495.00	$800.00	$3,294.00
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 $920.10 / $2,188.67 / $3,864.47	Facility		$920.10	$2,188.67	$3,864.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $507.50 / $1,052.45	Professional		$101.00	$507.50	$1,052.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $806.00 / $2,667.00 / $8,017.00	Facility		$806.00	$2,667.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $338.00 / $856.00 / $3,327.00	Professional		$338.00	$856.00	$3,327.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $800.00 / $3,294.00	Facility		$495.00	$800.00	$3,294.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $349.46 / $349.46 / $349.46	Professional		$349.46	$349.46	$349.46
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,734.00 / $4,300.00	Facility		$550.00	$1,734.00	$4,300.00