Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $182.76 / $281.11	Facility		$54.44	$182.76	$281.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $55.11 / $277.58	Professional		$52.42	$55.11	$277.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $338.90 / $440.08 / $8,639.91	Facility		$338.90	$440.08	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $52.42 / $52.42	Professional		$52.42	$52.42	$52.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.18 / $89.51 / $222.75	Facility		$44.18	$89.51	$222.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $75.75 / $100.26	Professional		$34.01	$75.75	$100.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $39.65 / $91.00	Professional		$30.92	$39.65	$91.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.13 / $182.76 / $281.11	Facility		$57.13	$182.76	$281.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $57.13 / $277.58	Professional		$48.39	$57.13	$277.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $101.82 / $222.75	Facility		$45.00	$101.82	$222.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $75.75 / $96.54	Professional		$34.01	$75.75	$96.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Facility		$67.20	$67.20	$67.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $67.20 / $95.63	Professional		$59.14	$67.20	$95.63
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $41.21 / $117.74	Professional		$28.23	$41.21	$117.74