Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $25.37 / $746.24	Facility		$10.19	$25.37	$746.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.84	Professional		$10.19	$10.19	$10.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $12.45 / $8,639.91	Facility		$10.58	$12.45	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $12.45 / $12.45	Professional		$12.45	$12.45	$12.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Facility		$10.19	$10.19	$10.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.80 / $169.80 / $169.80	Facility		$169.80	$169.80	$169.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $21.57 / $256.39	Facility		$10.84	$21.57	$256.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.84 / $21.57	Professional		$10.19	$10.84	$21.57
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Facility		$10.19	$10.19	$10.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $17.23	Professional		$10.00	$10.00	$17.23