Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $374.37 / $1,025.46	Facility		$203.00	$374.37	$1,025.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $180.70 / $220.51	Professional		$163.69	$180.70	$220.51
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 $164.60 / $170.81 / $335.72	Professional		$164.60	$170.81	$335.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.05 / $578.42 / $1,213.41	Facility		$201.05	$578.42	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.17 / $174.89 / $335.15	Professional		$102.17	$174.89	$335.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $241.04 / $241.04 / $269.42	Professional		$241.04	$241.04	$269.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $334.85 / $801.85	Facility		$203.00	$334.85	$801.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $191.79 / $801.85	Professional		$159.50	$191.79	$801.85
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $181.67 / $567.84 / $1,213.41	Facility		$181.67	$567.84	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $207.04 / $340.82	Professional		$110.00	$207.04	$340.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $98.50 / $187.26 / $187.26	Facility		$98.50	$187.26	$187.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $187.26 / $204.71	Professional		$98.50	$187.26	$204.71
United Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $202.10 / $321.39	Professional		$136.37	$202.10	$321.39