Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.50 / $2,712.44 / $3,973.15	Facility		$807.50	$2,712.44	$3,973.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.49 / $769.50 / $807.50	Professional		$623.49	$769.50	$807.50
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 $741.00 / $741.00 / $741.00	Professional		$741.00	$741.00	$741.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.39 / $1,235.00 / $3,152.24	Facility		$624.39	$1,235.00	$3,152.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.56 / $1,091.56 / $1,364.45	Professional		$1,091.56	$1,091.56	$1,364.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $437.00 / $560.50 / $1,286.30	Professional		$437.00	$560.50	$1,286.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $978.50 / $2,600.91 / $3,973.15	Facility		$978.50	$2,600.91	$3,973.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $623.49 / $779.00 / $3,923.50	Professional		$623.49	$779.00	$3,923.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $663.83 / $1,265.07 / $3,152.24	Facility		$663.83	$1,265.07	$3,152.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,091.56 / $1,091.56 / $1,364.45	Professional		$1,091.56	$1,091.56	$1,364.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $950.00 / $1,045.00	Facility		$950.00	$950.00	$1,045.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $950.00 / $1,045.00	Professional		$836.00	$950.00	$1,045.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $570.00 / $1,615.00	Professional		$399.00	$570.00	$1,615.00