Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.05 / $500.49 / $1,222.56	Facility		$382.05	$500.49	$1,222.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $343.56 / $382.05	Professional		$292.33	$343.56	$382.05
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 $281.20 / $425.49 / $425.49	Professional		$281.20	$425.49	$425.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.75 / $216.53 / $1,213.41	Facility		$55.75	$216.53	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $84.54 / $133.08	Professional		$47.99	$84.54	$133.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.21 / $112.21 / $608.10	Professional		$112.21	$112.21	$608.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $382.05 / $633.08 / $1,249.30	Facility		$382.05	$633.08	$1,249.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $270.45 / $344.44 / $427.64	Professional		$270.45	$344.44	$427.64
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $55.75 / $192.34 / $1,213.41	Facility		$55.75	$192.34	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $88.00 / $146.18	Professional		$52.37	$88.00	$146.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $144.07 / $157.46 / $157.46	Facility		$144.07	$157.46	$157.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $157.46 / $247.08	Professional		$69.22	$157.46	$247.08
United Facility/Professional Professional Modifier Low / Median / High Price $166.70 / $373.03 / $666.71	Professional		$166.70	$373.03	$666.71