Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $423.73 / $770.31	Facility		$310.61	$423.73	$770.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.61 / $310.61 / $828.44	Professional		$310.61	$310.61	$828.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $263.07 / $309.49 / $8,639.91	Facility		$263.07	$309.49	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $309.49 / $309.49 / $309.49	Professional		$309.49	$309.49	$309.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Facility		$310.61	$310.61	$310.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Professional		$310.61	$310.61	$310.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.55 / $474.55 / $474.55	Facility		$474.55	$474.55	$474.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $459.70 / $770.31	Facility		$310.61	$459.70	$770.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $299.64 / $310.61 / $801.37	Professional		$299.64	$310.61	$801.37
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Facility		$310.61	$310.61	$310.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Professional		$310.61	$310.61	$310.61
United Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $298.30 / $411.95	Professional		$298.30	$298.30	$411.95