Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.26 / $3,839.00 / $8,247.00	Facility		$847.26	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.60 / $718.80 / $1,046.06	Professional		$577.60	$718.80	$1,046.06
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 $738.38 / $868.68 / $1,454.85	Professional		$738.38	$868.68	$1,454.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,444.00 / $1,444.00 / $1,444.00	Facility		$1,444.00	$1,444.00	$1,444.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.82 / $696.82 / $834.87	Professional		$696.82	$696.82	$834.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,361.31 / $1,361.31 / $1,361.31	Professional		$1,361.31	$1,361.31	$1,361.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $577.60 / $718.80 / $1,060.53	Professional		$577.60	$718.80	$1,060.53
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,444.00 / $1,444.00 / $1,444.00	Facility		$1,444.00	$1,444.00	$1,444.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $696.82 / $696.82 / $834.87	Professional		$696.82	$696.82	$834.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $818.50 / $818.50 / $849.40	Facility		$818.50	$818.50	$849.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $818.50 / $849.40 / $915.60	Professional		$818.50	$849.40	$915.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,843.00 / $3,752.00 / $7,000.00	Facility		$1,843.00	$3,752.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $766.73 / $1,006.90 / $1,599.02	Professional		$766.73	$1,006.90	$1,599.02