Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.53 / $700.06 / $1,076.75	Facility		$208.53	$700.06	$1,076.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.51 / $211.11 / $1,655.40	Professional		$190.51	$211.11	$1,655.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,222.27 / $1,628.73 / $8,459.92	Facility		$1,222.27	$1,628.73	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $200.81 / $200.81 / $200.81	Professional		$200.81	$200.81	$200.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.32 / $380.20 / $753.03	Facility		$244.32	$380.20	$753.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $247.39 / $582.10	Professional		$150.68	$247.39	$582.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $347.56 / $489.16	Professional		$153.19	$347.56	$489.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.69 / $514.69 / $804.82	Facility		$514.69	$514.69	$804.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $700.06 / $1,063.27	Facility		$210.00	$700.06	$1,063.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.51 / $230.51 / $1,063.27	Professional		$190.51	$230.51	$1,063.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $251.01 / $428.31 / $854.07	Facility		$251.01	$428.31	$854.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $161.53 / $275.06 / $582.10	Professional		$161.53	$275.06	$582.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $257.45 / $329.11	Facility		$257.45	$257.45	$329.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $257.45 / $329.11	Professional		$257.45	$257.45	$329.11
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $159.25 / $489.16	Professional		$108.13	$159.25	$489.16