Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $294.08 / $875.31	Facility		$83.43	$294.08	$875.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $83.43 / $360.50	Professional		$54.59	$83.43	$360.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $519.29 / $674.34 / $8,639.91	Facility		$519.29	$674.34	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $80.34 / $80.34	Professional		$80.34	$80.34	$80.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.70 / $137.16 / $342.28	Facility		$67.70	$137.16	$342.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $117.51 / $156.13	Professional		$57.78	$117.51	$156.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $60.77 / $139.46	Professional		$47.38	$60.77	$139.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $87.55 / $281.99 / $450.52	Facility		$87.55	$281.99	$450.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.16 / $87.55 / $425.39	Professional		$74.16	$87.55	$425.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $155.55 / $342.28	Facility		$68.95	$155.55	$342.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $117.51 / $156.13	Professional		$57.78	$117.51	$156.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $103.00 / $103.00	Facility		$103.00	$103.00	$103.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.64 / $103.00 / $146.57	Professional		$90.64	$103.00	$146.57
United Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $63.86 / $180.42	Professional		$46.35	$63.86	$180.42