Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $835.00 / $1,197.35	Facility		$392.09	$835.00	$1,197.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $396.53 / $550.00	Professional		$392.09	$396.53	$550.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $361.57 / $425.38 / $8,459.92	Facility		$361.57	$425.38	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $406.89 / $406.89 / $406.89	Professional		$406.89	$406.89	$406.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $392.09 / $401.08	Facility		$369.90	$392.09	$401.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $502.31	Professional		$392.09	$392.09	$502.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $377.49 / $471.86	Professional		$340.31	$377.49	$471.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $397.81 / $712.08 / $1,197.35	Facility		$397.81	$712.08	$1,197.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $407.93 / $790.28	Professional		$392.09	$407.93	$790.28
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $392.09 / $401.08	Facility		$369.90	$392.09	$401.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $502.31	Professional		$392.09	$392.09	$502.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $390.60 / $390.60 / $453.24	Facility		$390.60	$390.60	$453.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $390.60 / $390.60 / $453.24	Professional		$390.60	$390.60	$453.24
United Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $392.09 / $490.11	Professional		$156.84	$392.09	$490.11