Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $281.64 / $861.88	Facility		$120.36	$281.64	$861.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $99.90 / $117.53 / $8,639.91	Facility		$99.90	$117.53	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $117.53 / $117.53	Professional		$117.53	$117.53	$117.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.58 / $197.51 / $295.50	Facility		$133.58	$197.51	$295.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $281.64 / $2,340.64	Facility		$120.36	$281.64	$2,340.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $310.52	Professional		$120.36	$120.36	$310.52
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $215.94	Professional		$118.00	$118.00	$215.94