Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.88 / $705.01 / $1,032.70	Facility		$209.88	$705.01	$1,032.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.05 / $200.01 / $209.88	Professional		$162.05	$200.01	$209.88
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 $162.29 / $321.00 / $819.30	Facility		$162.29	$321.00	$819.30
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 $113.58 / $145.68 / $334.33	Professional		$113.58	$145.68	$334.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $254.33 / $676.03 / $1,032.70	Facility		$254.33	$676.03	$1,032.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $162.05 / $202.47 / $1,019.78	Professional		$162.05	$202.47	$1,019.78
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $172.54 / $328.82 / $819.30	Facility		$172.54	$328.82	$819.30
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 $246.92 / $246.92 / $271.61	Facility		$246.92	$246.92	$271.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $217.29 / $246.92 / $271.61	Professional		$217.29	$246.92	$271.61
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $148.15 / $429.64	Professional		$103.71	$148.15	$429.64