Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.22 / $195.59 / $1,025.46	Facility		$111.22	$195.59	$1,025.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $107.73 / $158.27	Professional		$90.81	$107.73	$158.27
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 $105.78 / $109.77 / $223.97	Professional		$105.78	$109.77	$223.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $436.20 / $1,213.41	Facility		$104.83	$436.20	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $163.28 / $251.17	Professional		$87.29	$163.28	$251.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $152.49 / $152.49 / $170.33	Professional		$152.49	$152.49	$170.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $111.22 / $203.53 / $439.32	Facility		$111.22	$203.53	$439.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $111.22 / $439.32	Professional		$96.14	$111.22	$439.32
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $413.99 / $1,213.41	Facility		$104.83	$413.99	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $165.27 / $251.17	Professional		$99.01	$165.27	$251.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $104.41 / $104.41 / $183.50	Facility		$104.41	$104.41	$183.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.83 / $104.41 / $183.50	Professional		$102.83	$104.41	$183.50
United Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $132.47 / $212.85	Professional		$98.38	$132.47	$212.85