Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.61 / $500.06 / $3,551.11	Facility		$301.61	$500.06	$3,551.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.30 / $282.08 / $362.29	Professional		$244.30	$282.08	$362.29
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 $270.44 / $280.64 / $557.82	Professional		$270.44	$280.64	$557.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.29 / $1,095.81 / $4,206.46	Facility		$296.29	$1,095.81	$4,206.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $335.49 / $577.84	Professional		$214.82	$335.49	$577.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $394.66 / $394.66 / $439.63	Professional		$394.66	$394.66	$439.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $301.61 / $551.95 / $1,345.12	Facility		$301.61	$551.95	$1,345.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $244.30 / $291.58 / $1,191.35	Professional		$244.30	$291.58	$1,191.35
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $288.39 / $1,031.91 / $4,206.46	Facility		$288.39	$1,031.91	$4,206.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $225.39 / $344.43 / $586.10	Professional		$225.39	$344.43	$586.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $193.50 / $277.26 / $277.26	Facility		$193.50	$277.26	$277.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $277.26 / $302.22	Professional		$193.50	$277.26	$302.22
United Facility/Professional Professional Modifier Low / Median / High Price $255.13 / $345.53 / $562.92	Professional		$255.13	$345.53	$562.92