Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.11 / $6,012.00 / $15,412.58	Facility		$1,085.11	$6,012.00	$15,412.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.10 / $1,085.11 / $1,128.95	Professional		$1,085.10	$1,085.11	$1,128.95
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 $3,562.26 / $3,562.26 / $3,562.26	Professional		$3,562.26	$3,562.26	$3,562.26
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 $3,854.29 / $14,244.09 / $32,739.59	Facility		$3,854.29	$14,244.09	$32,739.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.62 / $449.62 / $449.62	Professional		$449.62	$449.62	$449.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,992.00 / $12,910.42	Facility		$1,301.00	$5,992.00	$12,910.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,085.10 / $1,085.11 / $2,159.38	Professional		$1,085.10	$1,085.11	$2,159.38
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 $929.00 / $3,562.26 / $3,562.26	Professional		$929.00	$3,562.26	$3,562.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $4,750.00 / $18,582.23	Facility		$1,622.00	$4,750.00	$18,582.23