Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.25 / $123.25 / $366.05	Facility		$123.25	$123.25	$366.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $123.25 / $123.25	Professional		$116.00	$123.25	$123.25
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 $123.25 / $123.25 / $123.25	Facility		$123.25	$123.25	$123.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $80.54 / $80.54	Professional		$80.54	$80.54	$80.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $80.54 / $80.54	Professional		$80.54	$80.54	$80.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $496.47 / $496.47 / $6,854.61	Facility		$496.47	$496.47	$6,854.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $123.25 / $123.25 / $8,798.32	Facility		$123.25	$123.25	$8,798.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $123.25 / $123.25	Professional		$116.00	$123.25	$123.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $123.25 / $123.25 / $123.25	Facility		$123.25	$123.25	$123.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $80.54 / $80.54	Professional		$80.54	$80.54	$80.54