Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $690.12 / $836.45	Facility		$170.00	$690.12	$836.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $162.00 / $170.00	Professional		$128.00	$162.00	$170.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $156.00 / $156.00	Professional		$156.00	$156.00	$156.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.80 / $274.13 / $663.91	Facility		$189.80	$274.13	$663.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.00 / $964.00 / $964.00	Professional		$964.00	$964.00	$964.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $270.00 / $494.00	Professional		$210.00	$270.00	$494.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $567.79 / $826.00	Facility		$206.00	$567.79	$826.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $170.00 / $826.00	Professional		$128.00	$170.00	$826.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $194.57 / $309.43 / $663.91	Facility		$194.57	$309.43	$663.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $964.00 / $964.00 / $964.00	Professional		$964.00	$964.00	$964.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $220.00	Facility		$200.00	$200.00	$220.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $220.00	Professional		$200.00	$200.00	$220.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $120.00 / $250.00	Professional		$84.00	$120.00	$250.00