Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.09 / $898.43 / $1,503.03	Facility		$174.09	$898.43	$1,503.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.65 / $174.10 / $280.58	Professional		$163.65	$174.10	$280.58
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 $196.08 / $203.48 / $203.48	Professional		$196.08	$203.48	$203.48
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 $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.92 / $473.62 / $514.00	Facility		$445.92	$473.62	$514.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $174.09 / $898.43 / $1,503.03	Facility		$174.09	$898.43	$1,503.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $174.10 / $280.58	Professional		$89.88	$174.10	$280.58
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 $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
United Facility/Professional Professional Modifier Low / Median / High Price $269.67 / $269.67 / $269.67	Professional		$269.67	$269.67	$269.67