Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.29 / $3,839.00 / $8,113.00	Facility		$71.29	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.31 / $67.40 / $80.06	Professional		$59.31	$67.40	$80.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $32.97 / $32.97	Professional		$31.77	$32.97	$32.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.36 / $84.61 / $153.94	Professional		$66.36	$84.61	$153.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $84.31 / $84.31	Professional		$84.31	$84.31	$84.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $4,264.00 / $8,247.00	Facility		$594.00	$4,264.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.29 / $71.29 / $1,426.00	Professional		$65.29	$71.29	$1,426.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $88.73 / $88.73 / $88.73	Facility		$88.73	$88.73	$88.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $85.15 / $156.66	Professional		$68.84	$85.15	$156.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $55.06 / $55.06 / $60.57	Facility		$55.06	$55.06	$60.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $55.06 / $60.57	Professional		$55.06	$55.06	$60.57
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 $64.53 / $82.23 / $148.00	Professional		$64.53	$82.23	$148.00