Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.46 / $151.21 / $1,885.00	Facility		$137.46	$151.21	$1,885.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $137.47 / $1,263.35	Professional		$137.47	$137.47	$1,263.35
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $14,219.04 / $22,349.34 / $38,223.23	Facility		$14,219.04	$22,349.34	$38,223.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $967.00 / $967.00	Facility		$967.00	$967.00	$967.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.05 / $1,394.83 / $2,083.25	Facility		$191.05	$1,394.83	$2,083.25
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14,219.04 / $18,014.38 / $30,443.67	Facility		$14,219.04	$18,014.38	$30,443.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $137.46 / $408.28 / $4,796.95	Facility		$137.46	$408.28	$4,796.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $137.47 / $252.41	Professional		$137.47	$137.47	$252.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00