Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $7,629.00	Facility		$641.00	$2,371.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.88 / $81.44 / $158.75	Professional		$55.88	$81.44	$158.75
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 $76.83 / $90.39 / $148.22	Professional		$76.83	$90.39	$148.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $104.83 / $104.83	Facility		$104.83	$104.83	$104.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $119.88 / $436.55	Professional		$109.08	$119.88	$436.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $129.91 / $152.46	Professional		$71.23	$129.91	$152.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $8,017.00	Facility		$641.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.88 / $88.13 / $1,544.00	Professional		$55.88	$88.13	$1,544.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $104.83 / $104.83	Facility		$104.83	$104.83	$104.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $119.88 / $436.55	Professional		$109.08	$119.88	$436.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $54.66 / $60.18 / $91.11	Facility		$54.66	$60.18	$91.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $89.81 / $97.14	Professional		$54.66	$89.81	$97.14
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 $82.17 / $108.65 / $162.22	Professional		$82.17	$108.65	$162.22