Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $14.49 / $9,503.79	Facility		$14.49	$14.49	$9,503.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $14.49 / $14.49	Professional		$13.64	$14.49	$14.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $17.05 / $25.58	Facility		$14.49	$17.05	$25.58
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Facility		$17.05	$17.05	$17.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $17.70 / $21.79	Professional		$16.89	$17.70	$21.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $51.81 / $65.75	Facility		$51.81	$51.81	$65.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $14.49 / $9,503.79	Facility		$14.49	$14.49	$9,503.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $14.49 / $14.49	Professional		$13.64	$14.49	$14.49
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Facility		$17.05	$17.05	$17.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.70	Professional		$17.05	$17.05	$17.70
United Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $17.05 / $24.08	Professional		$16.70	$17.05	$24.08