Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.05 / $128.82	Facility		$10.00	$19.05	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $10.96	Professional		$8.91	$10.00	$10.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $5.01 / $5,011.87	Facility		$4.27	$5.01	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $4.57	Professional		$4.57	$4.57	$4.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $16.98 / $61.66	Facility		$10.00	$16.98	$61.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $15.14	Professional		$8.91	$10.00	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $13.49	Professional		$9.77	$9.77	$13.49