Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $180.20 / $228.85	Facility		$180.20	$180.20	$228.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $198.21	Professional		$180.20	$180.20	$198.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $218.36 / $8,639.91	Facility		$185.61	$218.36	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $207.44 / $207.44 / $207.44	Professional		$207.44	$207.44	$207.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Facility		$203.81	$203.81	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $69.39 / $69.39	Facility		$69.39	$69.39	$69.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $180.20 / $304.54	Facility		$180.20	$180.20	$304.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $212.00	Professional		$180.20	$180.20	$212.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Facility		$203.81	$203.81	$203.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.36 / $272.95	Professional		$181.97	$218.36	$272.95