Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.24 / $492.16 / $596.53	Facility		$121.24	$492.16	$596.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $115.53 / $121.24	Professional		$85.58	$115.53	$121.24
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 $111.25 / $111.25 / $111.25	Professional		$111.25	$111.25	$111.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $210.90 / $473.76	Facility		$135.36	$210.90	$473.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.48 / $687.48 / $687.48	Professional		$687.48	$687.48	$687.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.76 / $192.55 / $352.30	Professional		$149.76	$192.55	$352.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $146.91 / $404.94 / $589.05	Facility		$146.91	$404.94	$589.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.61 / $121.24 / $589.05	Professional		$93.61	$121.24	$589.05
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $138.85 / $220.81 / $473.76	Facility		$138.85	$220.81	$473.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $687.48 / $687.48 / $687.48	Professional		$687.48	$687.48	$687.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $156.88	Facility		$142.63	$142.63	$156.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $156.88	Professional		$142.63	$142.63	$156.88
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $190.44	Professional		$59.90	$85.58	$190.44