Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.35 / $322.91 / $1,025.46	Facility		$197.35	$322.91	$1,025.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.01 / $190.90 / $289.75	Professional		$160.01	$190.90	$289.75
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 $174.64 / $181.23 / $396.27	Professional		$174.64	$181.23	$396.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.54 / $594.79 / $1,213.41	Facility		$206.54	$594.79	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $248.75 / $406.77	Professional		$146.72	$248.75	$406.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $254.49 / $254.49 / $283.38	Professional		$254.49	$254.49	$283.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $197.35 / $361.15 / $779.53	Facility		$197.35	$361.15	$779.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $197.35 / $779.53	Professional		$167.09	$197.35	$779.53
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $206.54 / $578.42 / $1,213.41	Facility		$206.54	$578.42	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $251.74 / $418.34	Professional		$152.88	$251.74	$418.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $179.52 / $179.52 / $225.00	Facility		$179.52	$179.52	$225.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $176.31 / $179.52 / $225.00	Professional		$176.31	$179.52	$225.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.19 / $238.92 / $376.36	Professional		$179.19	$238.92	$376.36