Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $68.84 / $165.24	Facility		$21.96	$68.84	$165.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $48.58	Professional		$38.25	$38.25	$48.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $37.35 / $8,639.91	Facility		$31.75	$37.35	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $37.35 / $37.35	Professional		$37.35	$37.35	$37.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.60 / $155.60 / $220.47	Facility		$155.60	$155.60	$220.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $58.38 / $165.24	Facility		$38.25	$58.38	$165.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $76.12	Professional		$38.25	$38.25	$76.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $51.79	Professional		$37.50	$37.50	$51.79