Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.39 / $1,234.04 / $1,477.01	Facility		$550.39	$1,234.04	$1,477.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.78	Professional		$4.78	$4.78	$4.78
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $278.95 / $278.95 / $278.95	Professional		$278.95	$278.95	$278.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.06 / $464.64 / $1,186.57	Facility		$235.06	$464.64	$1,186.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.94 / $410.94 / $513.66	Professional		$410.94	$410.94	$513.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $164.51 / $211.00 / $484.23	Professional		$164.51	$211.00	$484.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $550.39 / $1,341.11 / $1,477.01	Facility		$550.39	$1,341.11	$1,477.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $1,234.04 / $1,477.01	Professional		$4.78	$1,234.04	$1,477.01
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $249.90 / $476.24 / $1,186.57	Facility		$249.90	$476.24	$1,186.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $410.94 / $410.94 / $513.66	Professional		$410.94	$410.94	$513.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $357.63 / $357.63 / $393.39	Facility		$357.63	$357.63	$393.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $314.70 / $357.63 / $393.39	Professional		$314.70	$357.63	$393.39
United Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $214.58 / $618.23	Professional		$150.19	$214.58	$618.23