Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $6.40 / $9.92	Facility		$4.00	$6.40	$9.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $5.13 / $8,459.92	Facility		$4.36	$5.13	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.40	Professional		$5.13	$5.13	$5.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $4.90 / $5.76	Professional		$4.61	$4.90	$5.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $9.18 / $12.91	Facility		$9.18	$9.18	$12.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $6.40 / $9.92	Facility		$4.00	$6.40	$9.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $9.16	Professional		$4.00	$4.00	$9.16
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $6.36 / $7.63	Professional		$2.54	$6.36	$7.63