Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.14 / $38.10 / $69.62	Facility		$8.14	$38.10	$69.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $8.14 / $10.11	Professional		$8.14	$8.14	$10.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $5.09 / $8,639.91	Facility		$4.34	$5.09	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.14 / $8.14 / $8.14	Facility		$8.14	$8.14	$8.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $8.14 / $8.14	Professional		$8.14	$8.14	$8.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $7.68 / $16.98	Facility		$5.34	$7.68	$16.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.14 / $23.10 / $69.62	Facility		$8.14	$23.10	$69.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $8.14 / $16.20	Professional		$8.14	$8.14	$16.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8.14 / $8.14 / $8.14	Facility		$8.14	$8.14	$8.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $8.14 / $8.14	Professional		$8.14	$8.14	$8.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $7.98 / $9.58	Professional		$7.98	$7.98	$9.58