Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.41 / $231.81 / $751.77	Facility		$57.41	$231.81	$751.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $20.41 / $26.12	Professional		$13.58	$20.41	$26.12
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $61.08 / $2,321.48	Facility		$27.30	$61.08	$2,321.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $14.06 / $14.06	Professional		$14.06	$14.06	$14.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $28.72 / $88.01	Facility		$0.98	$28.72	$88.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $23.95 / $33.14	Professional		$9.11	$23.95	$33.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.14 / $253.28 / $582.47	Facility		$99.14	$253.28	$582.47
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $28.29 / $56.80 / $1,476.97	Facility		$28.29	$56.80	$1,476.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $51.46 / $230.86 / $777.69	Facility		$51.46	$230.86	$777.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $19.96 / $32.36	Professional		$14.56	$19.96	$32.36
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $28.72 / $88.01	Facility		$0.98	$28.72	$88.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $23.95 / $31.87	Professional		$8.85	$23.95	$31.87
United Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $17.41 / $33.47	Professional		$8.88	$17.41	$33.47