Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.66 / $133.66 / $133.66	Facility		$133.66	$133.66	$133.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $141.90 / $168.23	Professional		$127.56	$141.90	$168.23
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 $209.42 / $217.33 / $323.42	Professional		$209.42	$217.33	$323.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $188.67 / $188.67	Professional		$188.67	$188.67	$188.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $325.05 / $325.05 / $325.05	Professional		$325.05	$325.05	$325.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $133.66 / $133.66 / $133.66	Facility		$133.66	$133.66	$133.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $143.38 / $170.19	Professional		$127.56	$143.38	$170.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $188.67 / $188.67	Professional		$188.67	$188.67	$188.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $165.63 / $165.63 / $186.32	Facility		$165.63	$165.63	$186.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $166.18 / $186.32	Professional		$160.88	$166.18	$186.32
United Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $206.65 / $316.63	Professional		$148.72	$206.65	$316.63