Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $223.87 / $489.78	Facility		$131.83	$223.87	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $323.59	Professional		$81.28	$91.20	$323.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $5,011.87 / $77,624.71	Facility		$52.48	$5,011.87	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $91.20 / $91.20	Professional		$89.13	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $53.70 / $144.54	Facility		$33.88	$53.70	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $50.12	Professional		$16.60	$20.42	$50.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $194.98 / $239.88	Facility		$112.20	$194.98	$239.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $223.87 / $501.19	Facility		$100.00	$223.87	$501.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $316.23	Professional		$81.28	$89.13	$316.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $141.25 / $186.21	Facility		$72.44	$141.25	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.92 / $38.02	Professional		$16.22	$26.92	$38.02