Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $15.85 / $20.42	Facility		$6.76	$15.85	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $18.62	Professional		$6.03	$6.03	$18.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $7.24 / $5,011.87	Facility		$6.17	$7.24	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Facility		$6.76	$6.76	$6.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Facility		$6.76	$6.76	$6.76
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $11.75	Professional		$10.00	$11.75	$11.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $15.85 / $20.42	Facility		$6.76	$15.85	$20.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.76 / $20.42	Professional		$6.03	$6.76	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $12.30	Professional		$6.76	$6.76	$12.30