Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $549.54	Professional		$281.84	$389.05	$549.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $575.44 / $660.69	Professional		$66.07	$575.44	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $831.76	Professional		$128.82	$128.82	$831.76
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $398.11	Professional		$323.59	$323.59	$398.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $575.44	Professional		$323.59	$398.11	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $245.47 / $436.52	Facility		$32.36	$245.47	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $562.34	Professional		$234.42	$302.00	$562.34