Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.07 / $107.27 / $1,359.00	Facility		$92.07	$107.27	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $92.58 / $107.27	Professional		$47.72	$92.58	$107.27
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 $79.44 / $93.46 / $153.22	Professional		$79.44	$93.46	$153.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $76.89 / $288.52	Facility		$31.22	$76.89	$288.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.98 / $123.21 / $221.91	Professional		$94.98	$123.21	$221.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Facility		$67.45	$67.45	$67.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $138.71 / $246.84	Professional		$97.28	$138.71	$246.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $107.27 / $107.27 / $1,812.00	Facility		$107.27	$107.27	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $94.01 / $107.27	Professional		$47.72	$94.01	$107.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $71.62 / $288.52	Facility		$31.22	$71.62	$288.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $94.98 / $120.73 / $202.43	Professional		$94.98	$120.73	$202.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $88.06 / $88.06 / $89.00	Facility		$88.06	$88.06	$89.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $86.23 / $89.00	Professional		$78.95	$86.23	$89.00
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $1,078.00 / $4,300.00	Facility		$162.00	$1,078.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $101.95 / $163.36	Professional		$72.22	$101.95	$163.36