Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.12 / $440.18 / $677.05	Facility		$131.12	$440.18	$677.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $131.12 / $668.56	Professional		$63.74	$131.12	$668.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $363.28 / $471.74 / $8,639.91	Facility		$363.28	$471.74	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $126.27 / $126.27 / $126.27	Professional		$126.27	$126.27	$126.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.22 / $210.31 / $470.27	Facility		$105.22	$210.31	$470.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $155.47 / $232.31	Professional		$44.93	$155.47	$232.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $95.51 / $219.19	Professional		$65.45	$95.51	$219.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $137.60 / $412.80 / $668.56	Facility		$137.60	$412.80	$668.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $132.74 / $668.56	Professional		$101.98	$132.74	$668.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $105.22 / $210.44 / $536.78	Facility		$105.22	$210.44	$536.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $155.47 / $232.31	Professional		$42.56	$155.47	$232.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $161.88 / $161.88	Facility		$161.88	$161.88	$161.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $161.88 / $161.88	Professional		$102.53	$161.88	$161.88
United Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $97.13 / $242.82	Professional		$47.33	$97.13	$242.82