Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.62 / $2,240.00 / $7,629.00	Facility		$109.62	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.53 / $104.15 / $145.26	Professional		$95.53	$104.15	$145.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $122.91 / $222.81	Professional		$118.44	$122.91	$222.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $126.71 / $221.53	Professional		$99.56	$126.71	$221.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.01 / $183.87 / $191.69	Professional		$143.01	$183.87	$191.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $8,017.00	Facility		$617.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $109.62 / $1,023.00	Professional		$96.15	$109.62	$1,023.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $185.90 / $185.90 / $185.90	Facility		$185.90	$185.90	$185.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $102.44 / $128.38 / $240.90	Professional		$102.44	$128.38	$240.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $106.83 / $115.68 / $132.47	Facility		$106.83	$115.68	$132.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $115.68 / $122.55	Professional		$106.83	$115.68	$122.55
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $4,300.00	Facility		$144.00	$650.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.86 / $134.53 / $233.98	Professional		$108.86	$134.53	$233.98