Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.04 / $126.83 / $1,025.46	Facility		$72.04	$126.83	$1,025.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.20 / $69.45 / $101.68	Professional		$58.20	$69.45	$101.68
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 $68.59 / $110.49 / $151.18	Professional		$68.59	$110.49	$151.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $287.82 / $1,213.41	Facility		$79.43	$287.82	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $90.39 / $146.24	Professional		$56.08	$90.39	$146.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $100.13 / $112.67	Professional		$100.13	$100.13	$112.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.04 / $131.83 / $388.43	Facility		$72.04	$131.83	$388.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $72.04 / $284.56	Professional		$61.60	$72.04	$284.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $261.23 / $1,213.41	Facility		$79.43	$261.23	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $94.77 / $158.34	Professional		$58.09	$94.77	$158.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $67.19 / $67.19 / $79.50	Facility		$67.19	$67.19	$79.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $67.19 / $79.50	Professional		$66.15	$67.19	$79.50
United Facility/Professional Facility Modifier Low / Median / High Price $962.48 / $962.48 / $962.48	Facility		$962.48	$962.48	$962.48
United Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $82.44 / $130.22	Professional		$62.59	$82.44	$130.22