Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.00 / $5,350.00 / $8,986.00	Facility		$1,044.00	$5,350.00	$8,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.50 / $1,096.50 / $4,573.00	Professional		$1,096.50	$1,096.50	$4,573.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,524.00 / $2,657.00 / $8,459.92	Facility		$1,524.00	$2,657.00	$8,459.92
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 $1,925.77 / $3,050.57 / $17,230.86	Facility		$1,925.77	$3,050.57	$17,230.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,101.45 / $1,155.00 / $1,326.50	Professional		$1,101.45	$1,155.00	$1,326.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,350.00 / $8,986.00	Facility		$1,013.00	$5,350.00	$8,986.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $561.00 / $1,096.50 / $7,197.00	Professional		$561.00	$1,096.50	$7,197.00
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 $385.00 / $385.00 / $385.00	Professional		$385.00	$385.00	$385.00
United Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $1,090.00 / $3,742.00	Facility		$316.00	$1,090.00	$3,742.00