Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.62 / $698.82 / $2,126.17	Facility		$401.62	$698.82	$2,126.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $401.62 / $513.00	Professional		$289.39	$401.62	$513.00
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 $609.66 / $632.66 / $1,068.76	Professional		$609.66	$632.66	$1,068.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $160.59 / $419.76	Facility		$105.78	$160.59	$419.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.01 / $280.01 / $350.02	Professional		$280.01	$280.01	$350.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $567.54 / $567.54 / $807.90	Facility		$567.54	$567.54	$807.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $401.62 / $734.96 / $2,126.17	Facility		$401.62	$734.96	$2,126.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $401.62 / $1,196.82	Professional		$289.39	$401.62	$1,196.82
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $210.43 / $431.80	Facility		$105.78	$210.43	$431.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $280.01 / $280.01 / $350.02	Professional		$280.01	$280.01	$350.02