Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.98 / $194.02 / $1,025.46	Facility		$103.98	$194.02	$1,025.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $100.57 / $205.74	Professional		$84.56	$100.57	$205.74
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 $98.75 / $102.48 / $180.71	Professional		$98.75	$102.48	$180.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.78 / $426.00 / $1,213.41	Facility		$102.78	$426.00	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $136.09 / $220.59	Professional		$80.97	$136.09	$220.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.15 / $143.15 / $160.12	Professional		$143.15	$143.15	$160.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $819.05 / $819.05 / $848.77	Facility		$819.05	$819.05	$848.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $114.38 / $302.14 / $441.92	Facility		$114.38	$302.14	$441.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $103.98 / $308.82	Professional		$84.56	$103.98	$308.82
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $102.78 / $392.38 / $1,213.41	Facility		$102.78	$392.38	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $139.09 / $220.59	Professional		$83.46	$139.09	$220.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.45 / $97.45 / $144.57	Facility		$97.45	$97.45	$144.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.92 / $97.45 / $144.57	Professional		$95.92	$97.45	$144.57
United Facility/Professional Professional Modifier Low / Median / High Price $91.09 / $131.57 / $198.52	Professional		$91.09	$131.57	$198.52