Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.18 / $196.18 / $196.18	Facility		$196.18	$196.18	$196.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $166.65 / $196.18	Professional		$121.50	$166.65	$196.18
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 $159.11 / $165.11 / $311.50	Professional		$159.11	$165.11	$311.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.12 / $234.12 / $234.12	Professional		$234.12	$234.12	$234.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $196.18 / $196.18 / $196.18	Facility		$196.18	$196.18	$196.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $168.94 / $201.00	Professional		$129.38	$168.94	$201.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $158.01 / $158.01 / $198.96	Facility		$158.01	$158.01	$198.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $158.11 / $198.96	Professional		$153.93	$158.11	$198.96
United Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $216.26 / $344.11	Professional		$156.19	$216.26	$344.11