Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.89 / $1,320.91 / $2,579.42	Facility		$993.89	$1,320.91	$2,579.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $863.28 / $1,015.62 / $8,639.91	Facility		$863.28	$1,015.62	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,015.62 / $1,015.62 / $1,015.62	Professional		$1,015.62	$1,015.62	$1,015.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Facility		$1,040.08	$1,040.08	$1,040.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,731.32 / $2,731.32 / $2,731.32	Facility		$2,731.32	$2,731.32	$2,731.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,560.14 / $2,579.42	Facility		$1,040.08	$1,560.14	$2,579.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $2,069.78	Professional		$1,040.08	$1,040.08	$2,069.78
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Facility		$1,040.08	$1,040.08	$1,040.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,019.70 / $1,757.45	Professional		$1,019.70	$1,019.70	$1,757.45