Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $4,102.00 / $7,629.00	Facility		$954.00	$4,102.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.80 / $470.80 / $1,905.16	Professional		$470.80	$470.80	$1,905.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
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
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 $424.93 / $573.66 / $3,222.00	Facility		$424.93	$573.66	$3,222.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $4,068.00 / $8,017.00	Facility		$768.00	$4,068.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $470.80 / $1,426.00 / $5,958.00	Professional		$470.80	$1,426.00	$5,958.00
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00