Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.76 / $351.67 / $540.89	Facility		$104.76	$351.67	$540.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $104.76 / $534.13	Professional		$70.27	$104.76	$534.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $395.64 / $513.77 / $8,639.91	Facility		$395.64	$513.77	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $100.88 / $100.88 / $100.88	Professional		$100.88	$100.88	$100.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $168.02 / $375.70	Facility		$84.06	$168.02	$375.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $124.32 / $185.85	Professional		$46.76	$124.32	$185.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $77.61 / $175.11	Professional		$59.49	$77.61	$175.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $109.93 / $340.14 / $540.89	Facility		$109.93	$340.14	$540.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $106.05 / $534.13	Professional		$81.48	$106.05	$534.13
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $168.12 / $429.21	Facility		$84.06	$168.12	$429.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $124.32 / $185.85	Professional		$44.26	$124.32	$185.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $129.33 / $129.33	Facility		$129.33	$129.33	$129.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $111.67 / $129.33 / $129.33	Professional		$111.67	$129.33	$129.33
United Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $77.59 / $219.86	Professional		$48.11	$77.59	$219.86