Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.41 / $934.42 / $1,658.37	Facility		$381.41	$934.42	$1,658.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $293.39 / $337.88	Professional		$264.64	$293.39	$337.88
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $276.26 / $536.00 / $17,344.06	Facility		$276.26	$536.00	$17,344.06
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 $516.51 / $536.00 / $536.00	Professional		$516.51	$536.00	$536.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $305.39 / $305.39	Facility		$305.39	$305.39	$305.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $147.34	Professional		$147.34	$147.34	$147.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.73 / $666.09 / $1,223.73	Facility		$254.73	$666.09	$1,223.73
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $255.80 / $358.12 / $16,652.34	Facility		$255.80	$358.12	$16,652.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $394.57 / $871.39 / $1,911.90	Facility		$394.57	$871.39	$1,911.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $188.23 / $293.39 / $368.71	Professional		$188.23	$293.39	$368.71
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $305.39 / $305.39	Facility		$305.39	$305.39	$305.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $147.34	Professional		$147.34	$147.34	$147.34
United Facility/Professional Professional Modifier Low / Median / High Price $197.62 / $197.62 / $242.40	Professional		$197.62	$197.62	$242.40