Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,371.00 / $7,629.00	Facility		$882.00	$2,371.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $878.57 / $1,165.51	Professional		$224.97	$878.57	$1,165.51
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 $173.94 / $204.64 / $204.64	Professional		$173.94	$204.64	$204.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,613.67 / $1,613.67 / $1,613.67	Facility		$1,613.67	$1,613.67	$1,613.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,763.38 / $6,763.38 / $6,763.38	Professional		$6,763.38	$6,763.38	$6,763.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $880.62 / $880.62 / $880.62	Professional		$880.62	$880.62	$880.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,326.00 / $8,017.00	Facility		$657.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $878.57 / $1,616.27	Professional		$224.97	$878.57	$1,616.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.67 / $1,613.67 / $1,613.67	Facility		$1,613.67	$1,613.67	$1,613.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6,763.38 / $6,763.38 / $6,763.38	Professional		$6,763.38	$6,763.38	$6,763.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $651.75 / $651.75 / $717.64	Facility		$651.75	$651.75	$717.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $651.75 / $690.62 / $717.64	Professional		$651.75	$690.62	$717.64
United Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $2,391.00 / $6,322.00	Facility		$448.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $652.40 / $877.15 / $1,403.26	Professional		$652.40	$877.15	$1,403.26