Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.00 / $2,505.00 / $8,017.00	Facility		$806.00	$2,505.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $1,541.00 / $3,750.00	Professional		$459.00	$1,541.00	$3,750.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
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 $12,323.67 / $17,936.97 / $33,682.06	Facility		$12,323.67	$17,936.97	$33,682.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,422.00 / $8,017.00	Facility		$657.00	$2,422.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $1,023.00 / $5,958.00	Professional		$459.00	$1,023.00	$5,958.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,899.00 / $4,563.00 / $8,261.00	Facility		$1,899.00	$4,563.00	$8,261.00