Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.69 / $137.69 / $137.69	Facility		$137.69	$137.69	$137.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $143.77 / $181.77	Professional		$135.55	$143.77	$181.77
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 $140.34 / $165.11 / $271.00	Professional		$140.34	$165.11	$271.00
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 $137.69 / $137.69 / $137.69	Facility		$137.69	$137.69	$137.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $144.74 / $183.71	Professional		$131.68	$144.74	$183.71
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 / $200.19	Facility		$158.01	$158.01	$200.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $158.11 / $200.19	Professional		$153.93	$158.11	$200.19
United Facility/Professional Professional Modifier Low / Median / High Price $152.56 / $209.32 / $336.74	Professional		$152.56	$209.32	$336.74