Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $177.42 / $259.88	Facility		$52.82	$177.42	$259.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $50.33 / $52.82	Professional		$40.78	$50.33	$52.82
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 $48.47 / $48.47 / $48.47	Professional		$48.47	$48.47	$48.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $80.78 / $206.45	Facility		$40.85	$80.78	$206.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $71.45 / $89.31	Professional		$71.45	$71.45	$89.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $36.65 / $84.14	Professional		$28.58	$36.65	$84.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $170.12 / $259.88	Facility		$64.00	$170.12	$259.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $50.95 / $256.64	Professional		$40.78	$50.95	$256.64
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $82.75 / $206.45	Facility		$43.43	$82.75	$206.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $71.45 / $89.31	Professional		$71.45	$71.45	$89.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $68.34	Facility		$62.14	$62.14	$68.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $62.14 / $68.34	Professional		$54.68	$62.14	$68.34
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $37.28 / $105.64	Professional		$26.10	$37.28	$105.64