Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.58 / $346.49 / $1,025.46	Facility		$204.58	$346.49	$1,025.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.74 / $193.36 / $251.03	Professional		$165.74	$193.36	$251.03
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 $187.39 / $194.46 / $380.87	Professional		$187.39	$194.46	$380.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.86 / $594.79 / $1,213.41	Facility		$201.86	$594.79	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.27 / $224.60 / $376.64	Professional		$150.27	$224.60	$376.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $273.19 / $273.19 / $305.22	Professional		$273.19	$273.19	$305.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $204.58 / $374.38 / $808.09	Facility		$204.58	$374.38	$808.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $204.58 / $808.09	Professional		$173.80	$204.58	$808.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $201.86 / $578.42 / $1,213.41	Facility		$201.86	$578.42	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $229.82 / $380.91	Professional		$156.47	$229.82	$380.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $190.92 / $190.92	Facility		$161.00	$190.92	$190.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $190.92 / $208.07	Professional		$161.00	$190.92	$208.07
United Facility/Professional Professional Modifier Low / Median / High Price $175.62 / $229.64 / $381.20	Professional		$175.62	$229.64	$381.20