Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.39 / $212.81 / $327.33	Facility		$63.39	$212.81	$327.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $63.39 / $75.13	Professional		$41.48	$63.39	$75.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $394.64 / $512.47 / $8,639.91	Facility		$394.64	$512.47	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $61.04 / $61.04	Professional		$61.04	$61.04	$61.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.44 / $104.22 / $259.70	Facility		$51.44	$104.22	$259.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.83 / $90.03 / $147.68	Professional		$54.83	$90.03	$147.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $62.61 / $105.96	Professional		$36.00	$62.61	$105.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $66.52 / $212.81 / $327.33	Facility		$66.52	$212.81	$327.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $66.52 / $323.20	Professional		$41.48	$66.52	$323.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $113.03 / $259.70	Facility		$52.40	$113.03	$259.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.83 / $90.03 / $147.68	Professional		$54.83	$90.03	$147.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $78.26 / $78.26	Facility		$78.26	$78.26	$78.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $78.26 / $111.38	Professional		$68.87	$78.26	$111.38
United Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $39.13 / $53.70	Facility		$39.13	$39.13	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $47.99 / $137.11	Professional		$32.86	$47.99	$137.11