Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $128.82	Professional		$50.12	$85.11	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $660.69 / $794.33	Facility		$316.23	$660.69	$794.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $107.15	Professional		$77.62	$77.62	$107.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $128.82	Professional		$50.12	$83.18	$128.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $309.03	Professional		$58.88	$58.88	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $851.14 / $1,096.48	Facility		$467.74	$851.14	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $199.53 / $331.13	Professional		$43.65	$199.53	$331.13