Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $42.38 / $55.05	Facility		$18.29	$42.38	$55.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $19.05 / $21.91	Professional		$18.29	$19.05	$21.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $20.46 / $25.58	Facility		$17.39	$20.46	$25.58
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $20.46	Professional		$19.57	$19.57	$20.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $18.86 / $18.86	Facility		$17.79	$18.86	$18.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.53 / $34.53 / $34.53	Facility		$34.53	$34.53	$34.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $42.38 / $55.05	Facility		$18.29	$42.38	$55.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $19.05 / $55.05	Professional		$18.29	$19.05	$55.05
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $18.86 / $18.86	Facility		$17.79	$18.86	$18.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86
United Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $24.61	Professional		$18.86	$18.86	$24.61