Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.91 / $141.78 / $1,359.00	Facility		$117.91	$141.78	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $117.91 / $141.78	Professional		$29.98	$117.91	$141.78
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 $29.92 / $117.91 / $198.32	Professional		$29.92	$117.91	$198.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $127.93 / $240.23	Professional		$94.56	$127.93	$240.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $189.11 / $195.30	Professional		$147.08	$189.11	$195.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $141.78 / $141.78 / $1,812.00	Facility		$141.78	$141.78	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $120.39 / $174.96	Professional		$29.98	$120.39	$174.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $142.05 / $142.05 / $142.05	Facility		$142.05	$142.05	$142.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $111.24 / $134.05 / $282.16	Professional		$111.24	$134.05	$282.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.49 / $121.08 / $121.08	Facility		$29.49	$121.08	$121.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $121.08 / $133.29	Professional		$29.49	$121.08	$133.29
United Facility/Professional Professional Modifier Low / Median / High Price $97.53 / $122.59 / $234.60	Professional		$97.53	$122.59	$234.60