Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.21 / $403.56 / $620.66	Facility		$120.21	$403.56	$620.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $120.21 / $160.59	Professional		$78.66	$120.21	$160.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $748.53 / $972.01 / $8,639.91	Facility		$748.53	$972.01	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $197.64 / $492.23	Facility		$97.54	$197.64	$492.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $167.56 / $221.72	Professional		$79.98	$167.56	$221.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $118.73 / $200.95	Professional		$68.27	$118.73	$200.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $126.15 / $403.56 / $620.66	Facility		$126.15	$403.56	$620.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $126.15 / $612.92	Professional		$106.86	$126.15	$612.92
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $99.36 / $223.92 / $492.23	Facility		$99.36	$223.92	$492.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $167.56 / $215.80	Professional		$79.98	$167.56	$215.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $148.41 / $148.41	Facility		$148.41	$148.41	$148.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $130.60 / $148.41 / $211.31	Professional		$130.60	$148.41	$211.31
United Facility/Professional Facility Modifier Low / Median / High Price $133.57 / $178.09 / $178.09	Facility		$133.57	$178.09	$178.09
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $91.02 / $260.06	Professional		$62.33	$91.02	$260.06