Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,700.00 / $7,175.00	Facility		$882.00	$2,700.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $800.00 / $1,718.00	Professional		$199.50	$800.00	$1,718.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
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 $65.83 / $2,420.85 / $4,606.59	Facility		$65.83	$2,420.85	$4,606.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.15 / $194.50 / $427.50	Professional		$136.15	$194.50	$427.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $783.62 / $2,483.00 / $7,197.00	Facility		$783.62	$2,483.00	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $683.00 / $3,138.00	Professional		$199.50	$683.00	$3,138.00
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 $780.00 / $780.00 / $780.00	Professional		$780.00	$780.00	$780.00
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