Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.89 / $53.56 / $151.00	Facility		$42.89	$53.56	$151.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $53.98 / $77.47	Professional		$43.39	$53.98	$77.47
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 $59.62 / $70.14 / $125.64	Professional		$59.62	$70.14	$125.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $68.26 / $104.33	Professional		$50.48	$68.26	$104.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.58 / $102.58 / $102.58	Professional		$102.58	$102.58	$102.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.89 / $80.06 / $1,812.00	Facility		$42.89	$80.06	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $56.07 / $101.14	Professional		$43.84	$56.07	$101.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $69.81 / $108.22	Professional		$51.37	$69.81	$108.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $57.89 / $57.89	Facility		$54.08	$57.89	$57.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $57.89 / $57.89	Professional		$54.08	$57.89	$57.89
United Facility/Professional Professional Modifier Low / Median / High Price $60.37 / $86.91 / $133.47	Professional		$60.37	$86.91	$133.47