Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.00 / $2,505.00 / $7,629.00	Facility		$601.00	$2,505.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $280.50 / $1,487.20	Professional		$135.61	$280.50	$1,487.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
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 $309.82 / $647.77 / $4,478.70	Facility		$309.82	$647.77	$4,478.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,547.13 / $7,856.11	Facility		$641.00	$2,547.13	$7,856.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $436.15 / $1,541.00	Professional		$176.00	$436.15	$1,541.00
United Facility/Professional Facility Modifier Low / Median / High Price $277.50 / $557.00 / $3,000.00	Facility		$277.50	$557.00	$3,000.00