Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $22.39 / $34.67	Facility		$12.30	$22.39	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $14.13	Professional		$10.96	$12.02	$14.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $35.48 / $5,011.87	Facility		$30.20	$35.48	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $19.95 / $31.62	Facility		$12.30	$19.95	$31.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $24.55	Professional		$10.96	$12.02	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $19.95	Professional		$14.45	$14.45	$19.95