Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.27 / $394.86 / $478.58	Facility		$97.27	$394.86	$478.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $92.69 / $97.27	Professional		$68.66	$92.69	$97.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $395.23 / $526.66 / $8,459.92	Facility		$395.23	$526.66	$8,459.92
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 $108.59 / $166.39 / $379.22	Facility		$108.59	$166.39	$379.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.54 / $551.54 / $551.54	Professional		$551.54	$551.54	$551.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $154.47 / $282.64	Professional		$120.15	$154.47	$282.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $117.86 / $324.88 / $472.60	Facility		$117.86	$324.88	$472.60
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 $111.46 / $177.25 / $379.22	Facility		$111.46	$177.25	$379.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $551.54 / $551.54 / $551.54	Professional		$551.54	$551.54	$551.54
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 $114.43 / $114.43 / $125.87	Professional		$114.43	$114.43	$125.87
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $160.19	Professional		$48.06	$68.66	$160.19