Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.66 / $135.66 / $135.66	Facility		$135.66	$135.66	$135.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $121.01 / $137.29	Professional		$86.76	$121.01	$137.29
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 $121.06 / $125.63 / $222.43	Professional		$121.06	$125.63	$222.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.51 / $178.51 / $178.51	Professional		$178.51	$178.51	$178.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $135.66 / $135.66 / $135.66	Facility		$135.66	$135.66	$135.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $121.78 / $143.22	Professional		$91.78	$121.78	$143.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $119.45 / $119.45 / $142.07	Facility		$119.45	$119.45	$142.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $119.45 / $142.07	Professional		$116.49	$119.45	$142.07
United Facility/Professional Professional Modifier Low / Median / High Price $118.04 / $157.66 / $243.04	Professional		$118.04	$157.66	$243.04