Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.07 / $1,754.31 / $3,373.49	Facility		$1,052.07	$1,754.31	$3,373.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.10 / $1,052.08 / $1,052.08	Professional		$687.10	$1,052.08	$1,052.08
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 $504.49 / $523.53 / $523.53	Professional		$504.49	$523.53	$523.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.61 / $1,056.61 / $1,056.61	Professional		$1,056.61	$1,056.61	$1,056.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.71 / $1,549.71 / $1,549.71	Facility		$1,549.71	$1,549.71	$1,549.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,052.07 / $1,052.08 / $3,373.49	Facility		$1,052.07	$1,052.08	$3,373.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $687.10 / $1,052.08 / $1,052.08	Professional		$687.10	$1,052.08	$1,052.08
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.61 / $1,056.61 / $1,056.61	Professional		$1,056.61	$1,056.61	$1,056.61
United Facility/Professional Professional Modifier Low / Median / High Price $711.04 / $711.04 / $711.04	Professional		$711.04	$711.04	$711.04