Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,633.00 / $12,080.64 / $38,638.26	Facility		$1,633.00	$12,080.64	$38,638.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.30 / $673.30 / $780.00	Professional		$673.30	$673.30	$780.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5,813.60 / $15,015.00 / $296,504.24	Facility		$5,813.60	$15,015.00	$296,504.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $27,959.00 / $46,478.00 / $66,617.00	Facility		$27,959.00	$46,478.00	$66,617.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,570.00 / $8,956.00 / $12,668.00	Facility		$6,570.00	$8,956.00	$12,668.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.25 / $362.25 / $362.25	Professional		$362.25	$362.25	$362.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,661.66 / $25,663.52 / $49,294.11	Facility		$10,661.66	$25,663.52	$49,294.11
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,813.60 / $14,619.00 / $169,082.08	Facility		$5,813.60	$14,619.00	$169,082.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $12,378.69 / $36,805.00	Facility		$1,519.00	$12,378.69	$36,805.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $673.30 / $700.00 / $7,197.00	Professional		$673.30	$700.00	$7,197.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5,624.00 / $7,463.00 / $23,196.00	Facility		$5,624.00	$7,463.00	$23,196.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $362.25 / $362.25 / $362.25	Professional		$362.25	$362.25	$362.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,591.00 / $8,538.00 / $41,482.00	Facility		$3,591.00	$8,538.00	$41,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,763.18 / $7,763.18 / $7,763.18	Professional		$7,763.18	$7,763.18	$7,763.18