Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $607.75	Facility		$425.00	$425.00	$607.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $425.00	Professional		$400.00	$425.00	$425.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $9.50 / $8,459.92	Facility		$8.08	$9.50	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.50 / $9.50	Professional		$9.50	$9.50	$9.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Facility		$432.81	$432.81	$432.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Professional		$432.81	$432.81	$432.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $38,249.62	Professional		$425.00	$425.00	$38,249.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $1,096.50	Facility		$425.00	$425.00	$1,096.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $425.00 / $1,045.50	Professional		$410.00	$425.00	$1,045.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Facility		$432.81	$432.81	$432.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Professional		$432.81	$432.81	$432.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.48 / $46.48 / $46.48	Facility		$46.48	$46.48	$46.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $46.48 / $46.48	Professional		$46.48	$46.48	$46.48
United Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $500.00 / $652.50	Professional		$475.00	$500.00	$652.50