Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.98 / $150.12 / $481.65	Facility		$90.98	$150.12	$481.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $90.98 / $282.00	Professional		$81.51	$90.98	$282.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $8,459.92 / $79,506.39	Facility		$50.75	$8,459.92	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $91.50 / $91.50	Professional		$88.17	$91.50	$91.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $67.08 / $144.05	Facility		$34.57	$67.08	$144.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $132.16	Professional		$105.73	$105.73	$132.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $20.65 / $47.39	Professional		$16.10	$20.65	$47.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.01 / $184.61 / $239.50	Facility		$113.01	$184.61	$239.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $100.08 / $166.49 / $481.65	Facility		$100.08	$166.49	$481.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $105.00 / $324.29	Professional		$81.51	$105.00	$324.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $82.90 / $144.05	Facility		$35.36	$82.90	$144.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $132.16	Professional		$105.73	$105.73	$132.16
United Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $18.37 / $18.37	Facility		$18.37	$18.37	$18.37