Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.86 / $535.28 / $1,330.78	Facility		$324.86	$535.28	$1,330.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.62 / $305.23 / $387.80	Professional		$261.62	$305.23	$387.80
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 $289.49 / $300.41 / $608.58	Professional		$289.49	$300.41	$608.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.69 / $804.67 / $1,575.21	Facility		$312.69	$804.67	$1,575.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $325.87 / $600.05	Professional		$163.80	$325.87	$600.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.21 / $426.21 / $475.05	Professional		$426.21	$426.21	$475.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $324.86 / $535.28 / $1,283.20	Facility		$324.86	$535.28	$1,283.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $261.62 / $324.86 / $1,283.20	Professional		$261.62	$324.86	$1,283.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $312.69 / $804.67 / $1,575.21	Facility		$312.69	$804.67	$1,575.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $357.34 / $600.60	Professional		$163.80	$357.34	$600.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $299.14 / $299.14	Facility		$132.00	$299.14	$299.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $299.14 / $327.49	Professional		$132.00	$299.14	$327.49
United Facility/Professional Professional Modifier Low / Median / High Price $229.68 / $357.12 / $585.80	Professional		$229.68	$357.12	$585.80