Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $383.42 / $1,025.46	Facility		$209.52	$383.42	$1,025.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.35 / $202.48 / $357.56	Professional		$169.35	$202.48	$357.56
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 $185.86 / $208.28 / $391.96	Professional		$185.86	$208.28	$391.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.04 / $594.79 / $1,213.41	Facility		$225.04	$594.79	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.95 / $218.28 / $392.47	Professional		$116.95	$218.28	$392.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $294.29 / $294.29 / $328.03	Professional		$294.29	$294.29	$328.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,818.25 / $1,818.25 / $1,818.25	Facility		$1,818.25	$1,818.25	$1,818.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $388.43 / $995.60	Facility		$209.52	$388.43	$995.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $179.43 / $209.52 / $827.60	Professional		$179.43	$209.52	$827.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $223.77 / $578.42 / $1,213.41	Facility		$223.77	$578.42	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $234.86 / $406.28	Professional		$126.59	$234.86	$406.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $194.10 / $194.10	Facility		$112.00	$194.10	$194.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $194.10 / $211.97	Professional		$112.00	$194.10	$211.97
United Facility/Professional Facility Modifier Low / Median / High Price $210.28 / $210.28 / $210.28	Facility		$210.28	$210.28	$210.28
United Facility/Professional Professional Modifier Low / Median / High Price $170.42 / $229.12 / $389.98	Professional		$170.42	$229.12	$389.98