Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $50.62 / $182.84	Facility		$17.50	$50.62	$182.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $98.16 / $124.66	Professional		$50.00	$98.16	$124.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $87.83 / $103.33 / $8,639.91	Facility		$87.83	$103.33	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Professional		$98.16	$98.16	$98.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $62.92 / $375.72	Facility		$25.29	$62.92	$375.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $55.89 / $194.35	Facility		$20.00	$55.89	$194.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $98.16 / $134.80	Professional		$50.00	$98.16	$134.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
United Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $103.33 / $179.63	Professional		$98.16	$103.33	$179.63