Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.20 / $2,240.00 / $7,629.00	Facility		$90.20	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $72.87 / $107.25	Professional		$48.06	$72.87	$107.25
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 $92.12 / $151.55 / $159.97	Professional		$92.12	$151.55	$159.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $86.91 / $144.13	Professional		$53.96	$86.91	$144.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $111.74 / $143.66 / $148.83	Professional		$111.74	$143.66	$148.83
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 $49.30 / $84.47 / $570.05	Professional		$49.30	$84.47	$570.05
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $94.94 / $94.94	Facility		$94.94	$94.94	$94.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $87.50 / $148.51	Professional		$55.04	$87.50	$148.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.15 / $54.26 / $92.52	Facility		$50.15	$54.26	$92.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $73.27 / $98.96	Professional		$52.20	$73.27	$98.96
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $100.16 / $173.67	Professional		$79.63	$100.16	$173.67