Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $222.24 / $269.36	Facility		$54.75	$222.24	$269.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $52.17 / $54.75	Professional		$42.27	$52.17	$54.75
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $50.24 / $50.24	Professional		$50.24	$50.24	$50.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.13 / $83.69 / $214.06	Facility		$43.13	$83.69	$214.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $73.93 / $92.41	Professional		$73.93	$73.93	$92.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $38.00 / $87.21	Professional		$29.63	$38.00	$87.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $71.72 / $182.60 / $269.36	Facility		$71.72	$182.60	$269.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $52.82 / $266.01	Professional		$42.27	$52.82	$266.01
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $43.13 / $81.34 / $214.06	Facility		$43.13	$81.34	$214.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $73.93 / $92.41	Professional		$73.93	$73.93	$92.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $70.84	Facility		$64.41	$64.41	$70.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $64.41 / $70.84	Professional		$56.68	$64.41	$70.84
United Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $27.05 / $27.05	Facility		$27.05	$27.05	$27.05
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.65 / $127.31	Professional		$27.05	$38.65	$127.31