Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.88 / $267.51 / $1,025.46	Facility		$169.88	$267.51	$1,025.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $150.47 / $208.44	Professional		$137.19	$150.47	$208.44
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 $155.60 / $161.47 / $312.92	Professional		$155.60	$161.47	$312.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.75 / $578.42 / $1,213.41	Facility		$175.75	$578.42	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $166.00 / $288.32	Professional		$111.04	$166.00	$288.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $228.00 / $254.63	Professional		$228.00	$228.00	$254.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $169.88 / $287.70 / $1,025.46	Facility		$169.88	$287.70	$1,025.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $162.00 / $671.03	Professional		$137.19	$162.00	$671.03
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $175.75 / $546.64 / $1,213.41	Facility		$175.75	$546.64	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $186.68 / $302.41	Professional		$115.72	$186.68	$302.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $145.00 / $158.41 / $158.41	Facility		$145.00	$158.41	$158.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $158.41 / $173.06	Professional		$145.00	$158.41	$173.06
United Facility/Professional Professional Modifier Low / Median / High Price $137.61 / $187.23 / $320.99	Professional		$137.61	$187.23	$320.99