Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.52 / $651.91 / $932.25	Facility		$601.52	$651.91	$932.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.34 / $651.91 / $758.51	Professional		$567.34	$651.91	$758.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $716.22 / $842.61 / $8,459.92	Facility		$716.22	$842.61	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $842.61 / $842.61 / $842.61	Professional		$842.61	$842.61	$842.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Facility		$876.07	$876.07	$876.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Professional		$876.07	$876.07	$876.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $753.92 / $1,754.87 / $2,064.55	Professional		$753.92	$1,754.87	$2,064.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $601.52 / $651.91 / $1,551.92	Facility		$601.52	$651.91	$1,551.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $601.52 / $651.91 / $1,551.92	Professional		$601.52	$651.91	$1,551.92
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Facility		$876.07	$876.07	$876.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Professional		$876.07	$876.07	$876.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $510.52 / $510.52 / $510.52	Facility		$510.52	$510.52	$510.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $510.52 / $510.52 / $510.52	Professional		$510.52	$510.52	$510.52
United Facility/Professional Professional Modifier Low / Median / High Price $886.96 / $886.96 / $1,157.48	Professional		$886.96	$886.96	$1,157.48