Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,865.31 / $3,469.48	Facility		$1,243.54	$1,865.31	$3,469.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,032.96 / $1,215.25 / $8,639.91	Facility		$1,032.96	$1,215.25	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,215.25 / $1,215.25 / $1,215.25	Professional		$1,215.25	$1,215.25	$1,215.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Facility		$1,243.54	$1,243.54	$1,243.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,207.32 / $1,219.16 / $1,225.43	Facility		$1,207.32	$1,219.16	$1,225.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,865.31 / $115,207.41	Facility		$1,243.54	$1,865.31	$115,207.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,199.65 / $1,243.54 / $1,865.31	Professional		$1,199.65	$1,243.54	$1,865.31
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Facility		$1,243.54	$1,243.54	$1,243.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $2,101.21	Professional		$1,219.16	$1,219.16	$2,101.21