Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $723.07 / $1,066.69	Facility		$206.59	$723.07	$1,066.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.74 / $206.59 / $1,639.97	Professional		$188.74	$206.59	$1,639.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $898.91 / $1,197.84 / $8,459.92	Facility		$898.91	$1,197.84	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $198.94 / $198.94 / $198.94	Professional		$198.94	$198.94	$198.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.04 / $376.81 / $846.46	Facility		$242.04	$376.81	$846.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.19 / $272.52 / $576.91	Professional		$120.19	$272.52	$576.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.76 / $344.32 / $484.60	Professional		$151.76	$344.32	$484.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $216.79 / $723.07 / $1,053.35	Facility		$216.79	$723.07	$1,053.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $183.64 / $216.79 / $1,053.35	Professional		$183.64	$216.79	$1,053.35
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $248.10 / $424.31 / $846.46	Facility		$248.10	$424.31	$846.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $273.05 / $576.91	Professional		$134.19	$273.05	$576.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $255.05 / $255.05 / $286.29	Facility		$255.05	$255.05	$286.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $255.05 / $255.05 / $286.29	Professional		$255.05	$255.05	$286.29
United Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $153.03 / $382.58	Professional		$98.22	$153.03	$382.58