Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.27 / $326.72 / $478.58	Facility		$97.27	$326.72	$478.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $92.69 / $97.27	Professional		$75.09	$92.69	$97.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $395.23 / $513.23 / $8,639.91	Facility		$395.23	$513.23	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $89.26 / $89.26 / $89.26	Professional		$89.26	$89.26	$89.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $148.76 / $334.71	Facility		$75.20	$148.76	$334.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $131.75 / $164.68	Professional		$131.75	$131.75	$164.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $67.51 / $154.94	Professional		$52.64	$67.51	$154.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $117.86 / $313.29 / $478.58	Facility		$117.86	$313.29	$478.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $93.83 / $472.60	Professional		$75.09	$93.83	$472.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $166.39 / $379.22	Facility		$79.95	$166.39	$379.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $131.75 / $164.68	Professional		$131.75	$131.75	$164.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $125.87	Facility		$114.43	$114.43	$125.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $114.43 / $125.87	Professional		$100.70	$114.43	$125.87
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $194.53	Professional		$48.06	$68.66	$194.53