Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $163.15 / $250.94	Facility		$48.60	$163.15	$250.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $48.60 / $247.80	Professional		$15.00	$48.60	$247.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $84.48 / $109.71 / $8,639.91	Facility		$84.48	$109.71	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $46.80 / $46.80	Professional		$46.80	$46.80	$46.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $77.95 / $174.31	Facility		$39.00	$77.95	$174.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $44.19 / $86.21	Professional		$10.56	$44.19	$86.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $35.40 / $81.23	Professional		$18.92	$35.40	$81.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $153.00 / $247.80	Facility		$48.60	$153.00	$247.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $49.20 / $247.80	Professional		$37.79	$49.20	$247.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $78.00 / $198.85	Facility		$25.44	$78.00	$198.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $57.60 / $86.21	Professional		$10.56	$57.60	$86.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $60.00 / $60.00	Professional		$23.84	$60.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $9.83 / $9.83	Facility		$9.83	$9.83	$9.83
United Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $36.00 / $90.00	Professional		$13.68	$36.00	$90.00