Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.59 / $251.69 / $1,025.46	Facility		$105.59	$251.69	$1,025.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $102.19 / $178.36	Professional		$86.01	$102.19	$178.36
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 $100.47 / $104.26 / $208.28	Professional		$100.47	$104.26	$208.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.38 / $390.82 / $1,213.41	Facility		$102.38	$390.82	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.64 / $147.00 / $229.56	Professional		$82.64	$147.00	$229.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.30 / $145.30 / $162.44	Professional		$145.30	$145.30	$162.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $819.05 / $1,066.98 / $1,265.78	Facility		$819.05	$1,066.98	$1,265.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $105.59 / $251.69 / $462.48	Facility		$105.59	$251.69	$462.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $105.59 / $225.96	Professional		$86.01	$105.59	$225.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $102.38 / $387.99 / $1,213.41	Facility		$102.38	$387.99	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $154.59 / $229.56	Professional		$94.39	$154.59	$229.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $99.15 / $99.15 / $150.00	Facility		$99.15	$99.15	$150.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.61 / $99.15 / $150.00	Professional		$97.61	$99.15	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $125.27 / $195.38	Professional		$93.02	$125.27	$195.38