Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.61 / $175.17 / $227.57	Facility		$75.61	$175.17	$227.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $76.73 / $104.32	Professional		$75.97	$76.73	$104.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $82.42 / $8,639.91	Facility		$70.06	$82.42	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $78.84 / $78.84	Professional		$78.84	$78.84	$78.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $75.97 / $75.97	Facility		$71.67	$75.97	$75.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.89 / $72.89 / $259.49	Facility		$72.89	$72.89	$259.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.61 / $175.17 / $227.57	Facility		$75.61	$175.17	$227.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $83.11 / $227.57	Professional		$75.61	$83.11	$227.57
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $75.97 / $75.97	Facility		$71.67	$75.97	$75.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
United Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $106.13	Professional		$75.97	$75.97	$106.13