Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.08 / $597.04 / $723.64	Facility		$147.08	$597.04	$723.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.56 / $140.15 / $147.08	Professional		$113.56	$140.15	$147.08
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $134.96 / $134.96 / $134.96	Professional		$134.96	$134.96	$134.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.84 / $224.94 / $573.73	Facility		$115.84	$224.94	$573.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $199.07 / $248.83	Professional		$128.34	$199.07	$248.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $102.09 / $234.28	Professional		$79.59	$102.09	$234.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $192.68 / $490.53 / $723.64	Facility		$192.68	$490.53	$723.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $113.56 / $141.88 / $714.61	Professional		$113.56	$141.88	$714.61
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $115.84 / $224.94 / $573.73	Facility		$115.84	$224.94	$573.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $199.07 / $248.83	Professional		$128.34	$199.07	$248.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Facility		$173.03	$173.03	$173.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $173.03 / $173.03	Professional		$152.27	$173.03	$173.03
United Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $103.82 / $294.14	Professional		$72.67	$103.82	$294.14