Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.02 / $2,747.00 / $8,247.00	Facility		$90.02	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $81.78 / $112.37	Professional		$58.96	$81.78	$112.37
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 $84.70 / $99.65 / $163.36	Professional		$84.70	$99.65	$163.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.94 / $117.94 / $117.94	Facility		$117.94	$117.94	$117.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $128.21 / $489.57	Professional		$116.66	$128.21	$489.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $139.44 / $164.00	Professional		$76.56	$139.44	$164.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,427.00	Facility		$832.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $81.78 / $112.37	Professional		$51.97	$81.78	$112.37
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $117.94 / $117.94 / $117.94	Facility		$117.94	$117.94	$117.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $128.21 / $489.57	Professional		$116.66	$128.21	$489.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $69.88 / $99.66	Facility		$63.47	$69.88	$99.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $97.79 / $104.40	Professional		$63.47	$97.79	$104.40
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $119.53 / $174.96	Professional		$90.59	$119.53	$174.96