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 $55.95 / $82.99 / $375.27	Professional		$55.95	$82.99	$375.27
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 $77.79 / $91.52 / $150.04	Professional		$77.79	$91.52	$150.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.95 / $108.95 / $108.95	Facility		$108.95	$108.95	$108.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $119.88 / $453.71	Professional		$109.08	$119.88	$453.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $128.54 / $152.46	Professional		$71.23	$128.54	$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 $55.95 / $89.83 / $1,544.00	Professional		$55.95	$89.83	$1,544.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $108.95 / $108.95 / $108.95	Facility		$108.95	$108.95	$108.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $119.88 / $453.71	Professional		$109.08	$119.88	$453.71
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 / $90.73 / $97.14	Professional		$54.66	$90.73	$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 $83.20 / $110.30 / $163.44	Professional		$83.20	$110.30	$163.44