Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $2,169.94 / $3,178.52	Facility		$646.00	$2,169.94	$3,178.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.79 / $615.60 / $646.00	Professional		$498.79	$615.60	$646.00
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 $592.79 / $592.79 / $592.79	Professional		$592.79	$592.79	$592.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.52 / $988.00 / $2,522.01	Facility		$499.52	$988.00	$2,522.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.50 / $873.50 / $1,091.86	Professional		$873.50	$873.50	$1,091.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $349.60 / $448.40 / $1,029.04	Professional		$349.60	$448.40	$1,029.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $782.80 / $2,080.73 / $3,178.52	Facility		$782.80	$2,080.73	$3,178.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $498.79 / $623.20 / $3,138.80	Professional		$498.79	$623.20	$3,138.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $531.05 / $1,012.06 / $2,522.01	Facility		$531.05	$1,012.06	$2,522.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $873.50 / $873.50 / $1,091.86	Professional		$873.50	$873.50	$1,091.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $836.00	Facility		$760.00	$760.00	$836.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $668.80 / $760.00 / $836.00	Professional		$668.80	$760.00	$836.00
United Facility/Professional Facility Modifier Low / Median / High Price $684.00 / $912.00 / $912.00	Facility		$684.00	$912.00	$912.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $1,313.81	Professional		$319.20	$456.00	$1,313.81