Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.58 / $222.03 / $1,025.46	Facility		$125.58	$222.03	$1,025.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $121.51 / $178.72	Professional		$102.26	$121.51	$178.72
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 $120.08 / $124.61 / $270.52	Professional		$120.08	$124.61	$270.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $465.90 / $1,213.41	Facility		$124.31	$465.90	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.83 / $159.90 / $257.56	Professional		$98.83	$159.90	$257.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.75 / $173.75 / $194.30	Professional		$173.75	$173.75	$194.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $125.58 / $229.81 / $496.04	Facility		$125.58	$229.81	$496.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $125.58 / $496.04	Professional		$108.10	$125.58	$496.04
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $425.83 / $1,213.41	Facility		$124.31	$425.83	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $100.93 / $167.88 / $279.04	Professional		$100.93	$167.88	$279.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $117.99 / $117.99 / $142.00	Facility		$117.99	$117.99	$142.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $117.99 / $142.00	Professional		$116.22	$117.99	$142.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.56 / $142.52 / $226.64	Professional		$110.56	$142.52	$226.64