Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.30 / $1,623.16 / $1,915.33	Facility		$612.30	$1,623.16	$1,915.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.37 / $366.37 / $394.20	Professional		$304.37	$366.37	$394.20
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $361.73 / $361.73 / $361.73	Professional		$361.73	$361.73	$361.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.48 / $602.52 / $1,538.63	Facility		$310.48	$602.52	$1,538.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.17 / $533.17 / $666.48	Professional		$533.17	$533.17	$666.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.33 / $273.62 / $627.92	Professional		$213.33	$273.62	$627.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $713.74 / $1,915.33 / $1,915.33	Facility		$713.74	$1,915.33	$1,915.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $304.37 / $375.65 / $1,915.33	Professional		$304.37	$375.65	$1,915.33
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $310.48 / $586.12 / $1,538.63	Facility		$310.48	$586.12	$1,538.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $533.17 / $533.17 / $666.48	Professional		$533.17	$533.17	$666.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $463.76 / $463.76 / $510.14	Facility		$463.76	$463.76	$510.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $408.11 / $463.76 / $510.14	Professional		$408.11	$463.76	$510.14
United Facility/Professional Professional Modifier Low / Median / High Price $194.78 / $278.26 / $788.39	Professional		$194.78	$278.26	$788.39