Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.84 / $247.88 / $381.27	Facility		$73.84	$247.88	$381.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.32 / $74.75 / $98.64	Professional		$48.32	$74.75	$98.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $352.16 / $457.30 / $8,639.91	Facility		$352.16	$457.30	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $71.09 / $71.09	Professional		$71.09	$71.09	$71.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.91 / $121.39 / $302.08	Facility		$59.91	$121.39	$302.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $104.90 / $151.47	Professional		$56.07	$104.90	$151.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $58.48 / $123.43	Professional		$41.93	$58.48	$123.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $247.88 / $381.27	Facility		$77.48	$247.88	$381.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $81.62 / $376.49	Professional		$65.64	$81.62	$376.49
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $61.03 / $135.04 / $302.08	Facility		$61.03	$135.04	$302.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $104.90 / $151.47	Professional		$56.07	$104.90	$151.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $91.16 / $91.16 / $91.16	Facility		$91.16	$91.16	$91.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $91.16 / $99.40	Professional		$80.22	$91.16	$99.40
United Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $54.70 / $166.82	Professional		$41.02	$54.70	$166.82