Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.13 / $668.44 / $800.02	Facility		$298.13	$668.44	$800.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.98 / $134.94 / $185.96	Professional		$108.98	$134.94	$185.96
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 $192.60 / $192.60 / $192.60	Professional		$192.60	$192.60	$192.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $265.61 / $643.27	Facility		$135.36	$265.61	$643.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.73 / $283.73 / $354.66	Professional		$283.73	$283.73	$354.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $114.29 / $334.33	Professional		$89.11	$114.29	$334.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $298.13 / $800.02 / $800.02	Facility		$298.13	$800.02	$800.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $185.96 / $800.02	Professional		$134.94	$185.96	$800.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $160.50 / $322.27 / $643.27	Facility		$160.50	$322.27	$643.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $283.73 / $283.73 / $354.66	Professional		$283.73	$283.73	$354.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $193.71 / $193.71 / $226.19	Facility		$193.71	$193.71	$226.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $170.46 / $193.71 / $226.19	Professional		$170.46	$193.71	$226.19
United Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $116.23 / $368.05	Professional		$81.36	$116.23	$368.05