Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $175.28 / $832.83	Facility		$175.28	$175.28	$832.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $175.28 / $175.28	Professional		$143.75	$175.28	$175.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $164.78 / $171.00 / $171.00	Professional		$164.78	$171.00	$171.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $148.66 / $178.12	Professional		$83.76	$148.66	$178.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.98 / $463.92 / $727.72	Facility		$199.98	$463.92	$727.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $658.76 / $833.68	Facility		$175.28	$658.76	$833.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $175.28 / $175.28	Professional		$143.75	$175.28	$175.28
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $148.66 / $178.12	Professional		$83.76	$148.66	$178.12
United Facility/Professional Professional Modifier Low / Median / High Price $127.26 / $127.26 / $127.26	Professional		$127.26	$127.26	$127.26