Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,693.22 / $12,614.91	Facility		$1,000.00	$4,693.22	$12,614.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $1,197.42 / $3,606.40	Professional		$510.00	$1,197.42	$3,606.40
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 $4,004.79 / $4,004.79 / $4,004.79	Professional		$4,004.79	$4,004.79	$4,004.79
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 $4,694.97 / $15,466.04 / $25,899.65	Facility		$4,694.97	$15,466.04	$25,899.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,722.50 / $4,722.50 / $4,722.50	Professional		$4,722.50	$4,722.50	$4,722.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $989.25 / $4,210.50 / $11,939.74	Facility		$989.25	$4,210.50	$11,939.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $974.40 / $3,549.76	Professional		$315.00	$974.40	$3,549.76
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 $1,377.00 / $4,004.79 / $4,004.79	Professional		$1,377.00	$4,004.79	$4,004.79
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