Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.13 / $681.92 / $1,048.84	Facility		$203.13	$681.92	$1,048.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.12 / $205.64 / $1,035.72	Professional		$198.12	$205.64	$1,035.72
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 $195.61 / $195.61 / $195.61	Professional		$195.61	$195.61	$195.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.01 / $326.02 / $733.55	Facility		$163.01	$326.02	$733.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.10 / $288.27 / $360.34	Professional		$241.10	$288.27	$360.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $147.96 / $339.56	Professional		$115.36	$147.96	$339.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $203.13 / $681.92 / $1,048.84	Facility		$203.13	$681.92	$1,048.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $195.61 / $220.00 / $1,035.72	Professional		$195.61	$220.00	$1,035.72
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $163.01 / $346.55 / $832.34	Facility		$163.01	$346.55	$832.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $241.10 / $288.27 / $360.34	Professional		$241.10	$288.27	$360.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $233.57 / $250.78 / $250.78	Facility		$233.57	$250.78	$250.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $220.69 / $250.78 / $250.78	Professional		$220.69	$250.78	$250.78
United Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $150.47 / $387.60	Professional		$105.33	$150.47	$387.60