Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.65 / $58.49 / $94.66	Facility		$44.65	$58.49	$94.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $44.65 / $55.12	Professional		$31.36	$44.65	$55.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $57,255.43 / $79,506.39	Facility		$5,000.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $49.50 / $49.50	Professional		$42.08	$49.50	$49.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $87.55	Facility		$65.00	$75.00	$87.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $63.35 / $117.53	Professional		$36.51	$63.35	$117.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $94.00	Professional		$45.00	$45.00	$94.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $44.65 / $68.78 / $161.63	Facility		$44.65	$68.78	$161.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $44.65 / $55.90	Professional		$31.36	$44.65	$55.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $87.55	Facility		$65.00	$75.00	$87.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $62.91 / $117.53	Professional		$36.51	$62.91	$117.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $63.98 / $93.12	Professional		$44.54	$63.98	$93.12