Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.87 / $775.05 / $1,192.05	Facility		$230.87	$775.05	$1,192.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $230.87 / $1,177.17	Professional		$90.59	$230.87	$1,177.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $510.14 / $662.45 / $8,639.91	Facility		$510.14	$662.45	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $222.32 / $222.32 / $222.32	Professional		$222.32	$222.32	$222.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.27 / $370.32 / $828.05	Facility		$185.27	$370.32	$828.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $216.41 / $409.39	Professional		$57.53	$216.41	$409.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.27 / $168.17 / $385.93	Professional		$114.27	$168.17	$385.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $242.28 / $726.84 / $1,177.17	Facility		$242.28	$726.84	$1,177.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $179.57 / $233.72 / $1,177.17	Professional		$179.57	$233.72	$1,177.17
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $152.33 / $370.54 / $945.35	Facility		$152.33	$370.54	$945.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $273.83 / $409.39	Professional		$54.36	$273.83	$409.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $285.02 / $285.02 / $285.02	Facility		$285.02	$285.02	$285.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $285.02 / $285.02	Professional		$143.94	$285.02	$285.02
United Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $159.43 / $427.55	Professional		$66.47	$159.43	$427.55