Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $581.23 / $54,740.00	Facility		$253.36	$581.23	$54,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $253.36 / $253.36	Professional		$238.46	$253.36	$253.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $283.17 / $424.76	Facility		$240.69	$283.17	$424.76
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $283.16 / $283.16 / $283.16	Professional		$283.16	$283.16	$283.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Facility		$253.36	$253.36	$253.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $250.84 / $250.84 / $253.36	Professional		$250.84	$250.84	$253.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.58 / $511.44 / $768.03	Facility		$242.58	$511.44	$768.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $640.85 / $124,197.75	Facility		$253.36	$640.85	$124,197.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $253.36 / $345.26	Professional		$238.46	$253.36	$345.26
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Facility		$253.36	$253.36	$253.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
United Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $310.49	Professional		$248.39	$248.39	$310.49