Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.55 / $569.17 / $875.42	Facility		$169.55	$569.17	$875.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.15 / $169.55 / $864.49	Professional		$118.15	$169.55	$864.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $665.64 / $864.37 / $8,639.91	Facility		$665.64	$864.37	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $163.27 / $163.27 / $163.27	Professional		$163.27	$163.27	$163.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.27 / $271.95 / $612.27	Facility		$137.27	$271.95	$612.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $205.65 / $302.85	Professional		$77.56	$205.65	$302.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $149.05 / $283.42	Professional		$96.29	$149.05	$283.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $177.92 / $569.17 / $875.42	Facility		$177.92	$569.17	$875.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.87 / $171.64 / $864.49	Professional		$131.87	$171.64	$864.49
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $136.06 / $272.12 / $694.34	Facility		$136.06	$272.12	$694.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $205.65 / $300.45	Professional		$76.26	$205.65	$300.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $209.32 / $209.32 / $209.32	Facility		$209.32	$209.32	$209.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $209.32 / $209.32	Professional		$184.20	$209.32	$209.32
United Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $125.59 / $364.22	Professional		$87.15	$125.59	$364.22