Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $38.40 / $52.87	Facility		$38.40	$38.40	$52.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $41.63 / $56.04	Professional		$31.64	$41.63	$56.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $85.18 / $85.18	Professional		$85.18	$85.18	$85.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $80.53 / $80.53	Facility		$80.53	$80.53	$80.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $43.49 / $43.49	Professional		$43.49	$43.49	$43.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.44 / $115.33 / $123.51	Professional		$89.44	$115.33	$123.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $38.40 / $52.87	Facility		$38.40	$38.40	$52.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $41.63 / $54.64	Professional		$31.64	$41.63	$54.64
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $80.53 / $80.53	Facility		$80.53	$80.53	$80.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $43.49 / $43.49	Professional		$43.49	$43.49	$43.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $26.74 / $63.95	Facility		$23.76	$26.74	$63.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $26.74 / $63.95	Professional		$23.76	$26.74	$63.95
United Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $42.49 / $76.81	Professional		$29.74	$42.49	$76.81