Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $228.18 / $405.60	Facility		$76.33	$228.18	$405.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $76.33 / $92.38	Professional		$51.62	$76.33	$92.38
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 $36.85 / $36.85 / $36.85	Professional		$36.85	$36.85	$36.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $101.80 / $310.77	Facility		$3.44	$101.80	$310.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $84.25 / $112.52	Professional		$31.37	$84.25	$112.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $50.69 / $116.34	Professional		$39.52	$50.69	$116.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $92.38 / $228.18 / $405.60	Facility		$92.38	$228.18	$405.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $76.33 / $145.03	Professional		$51.62	$76.33	$145.03
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $101.80 / $310.77	Facility		$3.44	$101.80	$310.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $84.25 / $112.52	Professional		$31.37	$84.25	$112.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.63 / $42.63 / $47.64	Facility		$42.63	$42.63	$47.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $42.63 / $47.64	Professional		$42.63	$42.63	$47.64
United Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $58.02 / $117.98	Professional		$25.07	$58.02	$117.98