Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $86.27 / $103.25	Facility		$21.25	$86.27	$103.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $20.00 / $21.25	Professional		$13.25	$20.00	$21.25
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 $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.73 / $36.35 / $82.58	Facility		$23.73	$36.35	$82.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.50 / $120.50 / $120.50	Professional		$120.50	$120.50	$120.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $33.75 / $61.75	Professional		$26.25	$33.75	$61.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $103.25 / $103.25	Facility		$38.47	$103.25	$103.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $28.75 / $103.25	Professional		$16.41	$28.75	$103.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $38.54 / $82.58	Facility		$24.24	$38.54	$82.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $120.50 / $120.50 / $120.50	Professional		$120.50	$120.50	$120.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $27.50	Facility		$25.00	$25.00	$27.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $27.50	Professional		$25.00	$25.00	$27.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $15.00 / $33.38	Professional		$10.50	$15.00	$33.38