Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $450.33 / $692.61	Facility		$134.13	$450.33	$692.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $134.13 / $683.97	Professional		$120.96	$134.13	$683.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $681.25 / $884.65 / $8,639.91	Facility		$681.25	$884.65	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $129.18 / $129.18	Professional		$129.18	$129.18	$129.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.85 / $215.30 / $549.82	Facility		$108.85	$215.30	$549.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $187.07 / $247.56	Professional		$86.67	$187.07	$247.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $110.23 / $224.24	Professional		$76.18	$110.23	$224.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $140.77 / $422.31 / $692.61	Facility		$140.77	$422.31	$692.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $119.24 / $135.80 / $683.97	Professional		$119.24	$135.80	$683.97
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $110.88 / $220.54 / $549.82	Facility		$110.88	$220.54	$549.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $187.07 / $237.99	Professional		$86.67	$187.07	$237.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $165.61 / $165.61 / $165.61	Facility		$165.61	$165.61	$165.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.74 / $165.61 / $192.26	Professional		$145.74	$165.61	$192.26
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $99.37 / $288.16	Professional		$69.56	$99.37	$288.16