Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.17 / $2,033.74 / $4,034.05	Facility		$690.17	$2,033.74	$4,034.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.18 / $690.18 / $1,010.42	Professional		$690.18	$690.18	$1,010.42
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 $1,672.87 / $1,736.00 / $1,736.00	Professional		$1,672.87	$1,736.00	$1,736.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.67 / $734.67 / $734.67	Facility		$734.67	$734.67	$734.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $240.52 / $240.52	Professional		$240.52	$240.52	$240.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.73 / $1,671.03 / $3,292.80	Facility		$480.73	$1,671.03	$3,292.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $690.18 / $1,972.01 / $4,034.35	Facility		$690.18	$1,972.01	$4,034.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $690.18 / $690.18 / $923.10	Professional		$690.18	$690.18	$923.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $734.67 / $734.67 / $734.67	Facility		$734.67	$734.67	$734.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $240.52 / $240.52	Professional		$240.52	$240.52	$240.52
United Facility/Professional Professional Modifier Low / Median / High Price $437.68 / $437.68 / $683.77	Professional		$437.68	$437.68	$683.77