Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $344.68 / $498.57	Facility		$102.61	$344.68	$498.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $102.61 / $102.61	Professional		$61.08	$102.61	$102.61
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 $94.16 / $94.16 / $94.16	Professional		$94.16	$94.16	$94.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $156.94 / $400.96	Facility		$79.34	$156.94	$400.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $63.47 / $126.00	Professional		$63.47	$63.47	$126.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $71.22 / $163.44	Professional		$55.53	$71.22	$163.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $124.34 / $452.70 / $498.57	Facility		$124.34	$452.70	$498.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $102.61 / $498.57	Professional		$95.37	$102.61	$498.57
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $170.19 / $400.96	Facility		$80.81	$170.19	$400.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $63.47 / $126.00	Professional		$63.47	$63.47	$126.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $120.72 / $149.49	Facility		$120.72	$120.72	$149.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.23 / $120.72 / $149.49	Professional		$106.23	$120.72	$149.49
United Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $76.44 / $210.05	Professional		$54.32	$76.44	$210.05