Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.43 / $3.99 / $14.55	Facility		$1.43	$3.99	$14.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.43 / $1.43	Professional		$1.43	$1.43	$1.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.79 / $8,639.91	Facility		$1.52	$1.79	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $1.79 / $1.79	Professional		$1.79	$1.79	$1.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.43 / $1.43 / $1.43	Facility		$1.43	$1.43	$1.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.43 / $1.43	Professional		$1.43	$1.43	$1.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.15 / $6.11 / $27.76	Facility		$3.15	$6.11	$27.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.43 / $4.01 / $16.96	Facility		$1.43	$4.01	$16.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.43 / $2.85	Professional		$1.43	$1.43	$2.85
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.43 / $1.43 / $1.43	Facility		$1.43	$1.43	$1.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.43 / $1.43	Professional		$1.43	$1.43	$1.43
United Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $2.56	Professional		$1.40	$1.40	$2.56