Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.27 / $151.97 / $233.73	Facility		$45.27	$151.97	$233.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $47.51 / $350.43	Professional		$44.15	$47.51	$350.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $281.83 / $365.98 / $8,639.91	Facility		$281.83	$365.98	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $43.59 / $43.59	Professional		$43.59	$43.59	$43.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $74.43 / $185.81	Facility		$36.72	$74.43	$185.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $63.12 / $83.73	Professional		$25.47	$63.12	$83.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $44.71 / $75.68	Professional		$25.71	$44.71	$75.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $151.97 / $233.73	Facility		$47.51	$151.97	$233.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $64.64 / $230.83	Professional		$43.59	$64.64	$230.83
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.42 / $83.69 / $185.81	Facility		$37.42	$83.69	$185.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $63.12 / $80.54	Professional		$25.47	$63.12	$80.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $55.89 / $55.89 / $55.89	Facility		$55.89	$55.89	$55.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $55.89 / $79.56	Professional		$49.18	$55.89	$79.56
United Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $34.65 / $102.28	Professional		$25.15	$34.65	$102.28