Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $187.41 / $288.26	Facility		$55.83	$187.41	$288.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $55.83 / $284.64	Professional		$36.00	$55.83	$284.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $279.87 / $363.43 / $8,639.91	Facility		$279.87	$363.43	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $53.76 / $53.76	Professional		$53.76	$53.76	$53.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.30 / $89.19 / $200.23	Facility		$45.30	$89.19	$200.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $79.30 / $99.12	Professional		$51.10	$79.30	$99.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $40.65 / $93.32	Professional		$31.70	$40.65	$93.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $187.41 / $288.26	Facility		$55.83	$187.41	$288.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $56.51 / $284.64	Professional		$43.42	$56.51	$284.64
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $46.14 / $89.60 / $228.19	Facility		$46.14	$89.60	$228.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $79.30 / $99.12	Professional		$66.09	$79.30	$99.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $68.92 / $68.92 / $89.13	Facility		$68.92	$68.92	$89.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $68.92 / $89.13	Professional		$60.65	$68.92	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $41.35 / $117.16	Professional		$28.95	$41.35	$117.16