Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $48.80 / $48.80	Facility		$41.02	$48.80	$48.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $48.80 / $140.97	Professional		$32.61	$48.80	$140.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.57 / $588.80 / $759.25	Facility		$299.57	$588.80	$759.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $33.39 / $40.01	Professional		$33.39	$33.39	$40.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $58.95 / $59.13	Professional		$45.85	$58.95	$59.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Facility		$48.80	$48.80	$48.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $43.20 / $131.88	Professional		$27.99	$43.20	$131.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $59.65 / $308.74 / $632.19	Facility		$59.65	$308.74	$632.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $40.01 / $255.70	Professional		$33.39	$40.01	$255.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $148.04 / $148.04	Facility		$20.89	$148.04	$148.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $148.04 / $162.71	Professional		$20.89	$148.04	$162.71
United Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $23.02 / $147.99	Professional		$17.09	$23.02	$147.99