Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $95.28 / $232.74	Facility		$72.73	$95.28	$232.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.66 / $70.28 / $113.35	Professional		$58.66	$70.28	$113.35
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 $63.30 / $65.69 / $140.26	Professional		$63.30	$65.69	$140.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $165.98 / $299.80	Facility		$74.45	$165.98	$299.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $84.85 / $133.93	Professional		$52.31	$84.85	$133.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $93.11 / $103.49	Professional		$93.11	$93.11	$103.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $133.10 / $237.83	Facility		$72.73	$133.10	$237.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $72.73 / $287.27	Professional		$62.16	$72.73	$287.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $147.76 / $299.80	Facility		$71.98	$147.76	$299.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $86.05 / $136.99	Professional		$54.08	$86.05	$136.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $64.83 / $64.83 / $76.00	Facility		$64.83	$64.83	$76.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $64.83 / $76.00	Professional		$63.54	$64.83	$76.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $85.24 / $137.43	Professional		$66.17	$85.24	$137.43