Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $64.90 / $1,325.28	Facility		$42.14	$64.90	$1,325.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $32.69 / $8,639.91	Facility		$27.79	$32.69	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $32.69 / $32.69	Professional		$32.69	$32.69	$32.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Facility		$42.14	$42.14	$42.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.93 / $117.93 / $117.93	Facility		$117.93	$117.93	$117.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $63.21 / $1,325.28	Facility		$42.14	$63.21	$1,325.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $83.86	Professional		$42.14	$42.14	$83.86
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Facility		$42.14	$42.14	$42.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $57.05	Professional		$41.31	$41.31	$57.05