Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.30 / $2,179.76 / $3,352.58	Facility		$649.30	$2,179.76	$3,352.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.13 / $649.30 / $3,310.69	Professional		$295.13	$649.30	$3,310.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,662.22 / $2,158.51 / $8,639.91	Facility		$1,662.22	$2,158.51	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $625.26 / $625.26 / $625.26	Professional		$625.26	$625.26	$625.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.04 / $1,041.47 / $2,328.78	Facility		$521.04	$1,041.47	$2,328.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.99 / $608.29 / $1,151.24	Professional		$161.99	$608.29	$1,151.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $368.75 / $472.96 / $1,085.39	Professional		$368.75	$472.96	$1,085.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $681.38 / $2,044.14 / $3,310.69	Facility		$681.38	$2,044.14	$3,310.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $505.02 / $657.33 / $3,310.69	Professional		$505.02	$657.33	$3,310.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $493.76 / $1,042.09 / $2,660.01	Facility		$493.76	$1,042.09	$2,660.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $770.50 / $1,151.24	Professional		$153.13	$770.50	$1,151.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $801.62 / $801.62 / $801.62	Facility		$801.62	$801.62	$801.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $469.12 / $801.62 / $801.62	Professional		$469.12	$801.62	$801.62
United Facility/Professional Professional Modifier Low / Median / High Price $216.57 / $460.50 / $1,466.96	Professional		$216.57	$460.50	$1,466.96