Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.66 / $341.26 / $524.90	Facility		$101.66	$341.26	$524.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $91.41 / $112.37	Professional		$66.52	$91.41	$112.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $632.89 / $821.85 / $8,639.91	Facility		$632.89	$821.85	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $97.89 / $97.89	Professional		$97.89	$97.89	$97.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.49 / $167.13 / $416.17	Facility		$82.49	$167.13	$416.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $141.55 / $187.61	Professional		$59.49	$141.55	$187.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $74.05 / $169.93	Professional		$57.73	$74.05	$169.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $106.68 / $341.26 / $524.90	Facility		$106.68	$341.26	$524.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $101.66 / $518.32	Professional		$90.05	$101.66	$518.32
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $84.03 / $188.81 / $416.17	Facility		$84.03	$188.81	$416.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $141.55 / $180.17	Professional		$59.49	$141.55	$180.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $125.50 / $125.50	Facility		$125.50	$125.50	$125.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $125.50 / $178.64	Professional		$110.44	$125.50	$178.64
United Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $77.81 / $229.67	Professional		$56.48	$77.81	$229.67