Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.19 / $271.60 / $1,025.46	Facility		$166.19	$271.60	$1,025.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.11 / $159.43 / $235.09	Professional		$134.11	$159.43	$235.09
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 $146.88 / $152.43 / $340.30	Professional		$146.88	$152.43	$340.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.35 / $591.17 / $1,213.41	Facility		$177.35	$591.17	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.74 / $189.27 / $331.07	Professional		$115.74	$189.27	$331.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $215.48 / $215.48 / $240.43	Professional		$215.48	$215.48	$240.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $166.19 / $304.13 / $656.45	Facility		$166.19	$304.13	$656.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.04 / $166.19 / $656.45	Professional		$141.04	$166.19	$656.45
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $177.35 / $578.42 / $1,213.41	Facility		$177.35	$578.42	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $121.37 / $198.41 / $337.13	Professional		$121.37	$198.41	$337.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $150.72 / $150.72	Facility		$112.50	$150.72	$150.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $150.72 / $164.74	Professional		$112.50	$150.72	$164.74
United Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $189.66 / $306.23	Professional		$131.63	$189.66	$306.23