Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $56.71 / $168.57	Facility		$43.36	$56.71	$168.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $55.39 / $66.81	Professional		$35.42	$55.39	$66.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $43.44 / $53.45	Facility		$35.86	$43.44	$53.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $84.67 / $101.44	Professional		$80.67	$84.67	$101.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $87.53 / $87.53 / $87.53	Facility		$87.53	$87.53	$87.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $107.20 / $199.38	Professional		$77.23	$107.20	$199.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $62.87 / $172.69	Facility		$43.36	$62.87	$172.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $55.02 / $68.51	Professional		$35.42	$55.02	$68.51
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $41.45 / $44.50	Facility		$35.86	$41.45	$44.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $84.67 / $101.44	Professional		$80.67	$84.67	$101.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $26.14 / $26.14	Professional		$26.14	$26.14	$26.14
United Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $72.55 / $114.59	Professional		$57.53	$72.55	$114.59