Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.76 / $316.51 / $1,025.46	Facility		$198.76	$316.51	$1,025.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $176.51 / $246.14	Professional		$161.69	$176.51	$246.14
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 $183.74 / $190.67 / $368.54	Professional		$183.74	$190.67	$368.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.57 / $579.85 / $1,213.41	Facility		$183.57	$579.85	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $228.53 / $352.44	Professional		$147.34	$228.53	$352.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $266.20 / $297.27	Professional		$266.20	$266.20	$297.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $198.76 / $339.75 / $785.10	Facility		$198.76	$339.75	$785.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $169.08 / $192.34 / $785.10	Professional		$169.08	$192.34	$785.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $181.67 / $578.42 / $1,213.41	Facility		$181.67	$578.42	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $153.46 / $231.97 / $354.35	Professional		$153.46	$231.97	$354.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $202.50	Facility		$186.93	$186.93	$202.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $183.89 / $186.93 / $203.09	Professional		$183.89	$186.93	$203.09
United Facility/Professional Professional Modifier Low / Median / High Price $177.09 / $231.09 / $370.75	Professional		$177.09	$231.09	$370.75