Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $2.08 / $138.76	Facility		$1.23	$2.08	$138.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $1.65 / $8,639.91	Facility		$1.40	$1.65	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $1.65 / $1.65	Professional		$1.65	$1.65	$1.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Facility		$1.23	$1.23	$1.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Facility		$3.13	$3.13	$3.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $2.08 / $240.10	Facility		$1.23	$2.08	$240.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $2.45	Professional		$1.23	$1.23	$2.45
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Facility		$1.23	$1.23	$1.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
United Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Facility		$2.02	$2.02	$2.02
United Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.21 / $1.95	Professional		$1.21	$1.21	$1.95