Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.52 / $353.05 / $642.00	Facility		$110.52	$353.05	$642.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $157.34 / $175.00	Professional		$76.75	$157.34	$175.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $530.16 / $688.47 / $8,639.91	Facility		$530.16	$688.47	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $119.73 / $119.73 / $119.73	Professional		$119.73	$119.73	$119.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.77 / $199.56 / $449.01	Facility		$102.77	$199.56	$449.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.94 / $176.76 / $220.96	Professional		$113.94	$176.76	$220.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $90.57 / $207.84	Professional		$43.30	$90.57	$207.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.03 / $246.90 / $381.51	Facility		$191.03	$246.90	$381.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $69.98 / $92.10	Professional		$69.98	$69.98	$92.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $107.45 / $322.29 / $633.96	Facility		$107.45	$322.29	$633.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $110.52 / $157.34 / $633.96	Professional		$110.52	$157.34	$633.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $107.26 / $237.83 / $509.62	Facility		$107.26	$237.83	$509.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $147.62 / $176.76 / $220.96	Professional		$147.62	$176.76	$220.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $153.50 / $153.50 / $168.85	Facility		$153.50	$153.50	$168.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $153.50 / $168.85	Professional		$135.08	$153.50	$168.85
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $92.10 / $265.36	Professional		$64.47	$92.10	$265.36