Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.01 / $423.69 / $1,025.46	Facility		$252.01	$423.69	$1,025.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.25 / $238.29 / $306.95	Professional		$204.25	$238.29	$306.95
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 $229.14 / $237.79 / $461.62	Professional		$229.14	$237.79	$461.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.87 / $594.79 / $1,213.41	Facility		$248.87	$594.79	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.58 / $268.20 / $454.04	Professional		$171.58	$268.20	$454.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $334.05 / $334.05 / $372.54	Professional		$334.05	$334.05	$372.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $252.01 / $423.69 / $995.44	Facility		$252.01	$423.69	$995.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.25 / $252.01 / $995.44	Professional		$204.25	$252.01	$995.44
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $248.87 / $578.42 / $1,213.41	Facility		$248.87	$578.42	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $175.98 / $279.04 / $454.74	Professional		$175.98	$279.04	$454.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $234.62 / $234.62	Facility		$224.00	$234.62	$234.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $234.62 / $255.65	Professional		$224.00	$234.62	$255.65
United Facility/Professional Facility Modifier Low / Median / High Price $224.52 / $224.52 / $224.52	Facility		$224.52	$224.52	$224.52
United Facility/Professional Professional Modifier Low / Median / High Price $209.63 / $269.05 / $454.16	Professional		$209.63	$269.05	$454.16