Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.63 / $2,747.00 / $8,247.00	Facility		$90.63	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $90.63 / $110.78	Professional		$59.61	$90.63	$110.78
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 $85.66 / $100.78 / $165.23	Professional		$85.66	$100.78	$165.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.68 / $118.68 / $118.68	Facility		$118.68	$118.68	$118.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.79 / $495.79 / $495.79	Professional		$495.79	$495.79	$495.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.99 / $138.99 / $138.99	Professional		$138.99	$138.99	$138.99
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 $53.29 / $90.63 / $112.37	Professional		$53.29	$90.63	$112.37
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $118.68 / $118.68 / $118.68	Facility		$118.68	$118.68	$118.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $495.79 / $495.79 / $495.79	Professional		$495.79	$495.79	$495.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $69.88 / $100.15	Facility		$63.47	$69.88	$100.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $98.16 / $104.40	Professional		$63.47	$98.16	$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 $91.62 / $118.19 / $176.97	Professional		$91.62	$118.19	$176.97