Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.69 / $91.02 / $91.02	Facility		$86.69	$91.02	$91.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $87.47 / $116.83	Professional		$81.39	$87.47	$116.83
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 $13.64 / $125.93 / $136.38	Professional		$13.64	$125.93	$136.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $222.04	Facility		$123.50	$123.50	$222.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $123.50 / $224.06	Professional		$104.98	$123.50	$224.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $125.48 / $136.38	Professional		$125.48	$125.48	$136.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $91.02 / $91.02	Facility		$91.02	$91.02	$91.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $87.47 / $126.90	Professional		$81.39	$87.47	$126.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $222.04	Facility		$123.50	$123.50	$222.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $123.50 / $224.06	Professional		$104.98	$123.50	$224.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $157.41 / $157.41 / $183.23	Facility		$157.41	$157.41	$183.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $157.41 / $183.23	Professional		$150.51	$157.41	$183.23
United Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $111.03 / $212.81	Professional		$81.83	$111.03	$212.81