Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.47 / $154.47 / $353.29	Facility		$76.47	$154.47	$353.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $80.25 / $470.16	Professional		$54.80	$80.25	$470.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $218.94 / $284.31 / $8,459.92	Facility		$218.94	$284.31	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $73.64 / $73.64 / $73.64	Professional		$73.64	$73.64	$73.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.29 / $227.14 / $426.05	Facility		$113.29	$227.14	$426.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $141.47 / $455.06	Professional		$79.56	$141.47	$455.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.01 / $118.01 / $127.83	Professional		$118.01	$118.01	$127.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $80.25 / $185.04 / $354.04	Facility		$80.25	$185.04	$354.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $88.62 / $470.16	Professional		$56.44	$88.62	$470.16
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $109.68 / $218.21 / $420.84	Facility		$109.68	$218.21	$420.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $169.51 / $455.06	Professional		$79.56	$169.51	$455.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $94.41 / $94.41	Facility		$94.41	$94.41	$94.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $94.41 / $94.41	Professional		$94.41	$94.41	$94.41
United Facility/Professional Facility Modifier Low / Median / High Price $56.47 / $56.47 / $112.93	Facility		$56.47	$56.47	$112.93
United Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $56.65 / $118.01	Professional		$39.65	$56.65	$118.01