Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.73 / $2,747.00 / $8,247.00	Facility		$168.73	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.77 / $168.73 / $215.20	Professional		$113.77	$168.73	$215.20
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 $55,249.45 / $64,999.35 / $64,999.35	Professional		$55,249.45	$64,999.35	$64,999.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.15 / $205.15 / $205.15	Facility		$205.15	$205.15	$205.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.55 / $435.81 / $1,027.43	Professional		$396.55	$435.81	$1,027.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $314.14 / $475.20 / $542.60	Professional		$314.14	$475.20	$542.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $4,761.00 / $8,427.00	Facility		$657.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $113.77 / $182.70 / $1,182.40	Professional		$113.77	$182.70	$1,182.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $205.15 / $205.15 / $205.15	Facility		$205.15	$205.15	$205.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $396.55 / $435.81 / $1,027.43	Professional		$396.55	$435.81	$1,027.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $215.03 / $255.45 / $363.51	Facility		$215.03	$255.45	$363.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $215.03 / $288.12 / $363.51	Professional		$215.03	$288.12	$363.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.44 / $317.85 / $544.27	Professional		$236.44	$317.85	$544.27