Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.71 / $784.54 / $3,551.11	Facility		$428.71	$784.54	$3,551.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.08 / $402.59 / $509.16	Professional		$345.08	$402.59	$509.16
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 $380.07 / $394.42 / $812.03	Professional		$380.07	$394.42	$812.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.72 / $1,577.28 / $4,206.46	Facility		$453.72	$1,577.28	$4,206.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.41 / $432.97 / $760.98	Professional		$258.41	$432.97	$760.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $560.11 / $560.11 / $624.16	Professional		$560.11	$560.11	$624.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $883.26 / $883.26 / $905.35	Facility		$883.26	$883.26	$905.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $428.71 / $801.69 / $1,693.40	Facility		$428.71	$801.69	$1,693.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $345.08 / $428.71 / $1,693.40	Professional		$345.08	$428.71	$1,693.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $453.72 / $1,577.28 / $4,206.46	Facility		$453.72	$1,577.28	$4,206.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $275.51 / $471.11 / $768.27	Professional		$275.51	$471.11	$768.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $374.50 / $394.58 / $394.58	Facility		$374.50	$394.58	$394.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $374.50 / $394.58 / $432.17	Professional		$374.50	$394.58	$432.17
United Facility/Professional Professional Modifier Low / Median / High Price $322.70 / $473.98 / $762.59	Professional		$322.70	$473.98	$762.59