Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.57 / $187.57 / $1,615.20	Facility		$187.57	$187.57	$1,615.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $187.57 / $187.57	Professional		$176.54	$187.57	$187.57
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 Facility Modifier Low / Median / High Price $147.94 / $187.57 / $259.58	Facility		$147.94	$187.57	$259.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $149.16 / $175.48	Professional		$149.16	$149.16	$175.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $287.75 / $358.90	Facility		$175.28	$287.75	$358.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $187.56 / $238.21 / $1,615.20	Facility		$187.56	$238.21	$1,615.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $187.57 / $187.57	Professional		$176.54	$187.57	$187.57
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $141.22 / $187.57 / $227.31	Facility		$141.22	$187.57	$227.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57