Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.14 / $1,313.70 / $1,572.37	Facility		$392.14	$1,313.70	$1,572.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.87 / $308.38 / $323.61	Professional		$249.87	$308.38	$323.61
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $296.95 / $296.95 / $296.95	Professional		$296.95	$296.95	$296.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.23 / $494.64 / $1,263.72	Facility		$250.23	$494.64	$1,263.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.37 / $437.37 / $546.71	Professional		$437.37	$437.37	$546.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.13 / $224.62 / $515.49	Professional		$175.13	$224.62	$515.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $392.14 / $1,427.70 / $1,572.37	Facility		$392.14	$1,427.70	$1,572.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $249.87 / $312.19 / $1,572.37	Professional		$249.87	$312.19	$1,572.37
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $266.02 / $506.99 / $1,263.72	Facility		$266.02	$506.99	$1,263.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $437.37 / $437.37 / $546.71	Professional		$437.37	$437.37	$546.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $380.72 / $380.72 / $418.79	Facility		$380.72	$380.72	$418.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $335.03 / $380.72 / $418.79	Professional		$335.03	$380.72	$418.79
United Facility/Professional Facility Modifier Low / Median / High Price $228.43 / $228.43 / $456.86	Facility		$228.43	$228.43	$456.86
United Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $228.43 / $658.15	Professional		$159.90	$228.43	$658.15