Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.56 / $183.17 / $281.69	Facility		$54.56	$183.17	$281.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $54.56 / $278.20	Professional		$38.88	$54.56	$278.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $218.94 / $284.31 / $8,639.91	Facility		$218.94	$284.31	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $52.54 / $52.54	Professional		$52.54	$52.54	$52.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.27 / $89.69 / $223.84	Facility		$44.27	$89.69	$223.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $77.23 / $118.06	Professional		$42.25	$77.23	$118.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $53.89 / $91.21	Professional		$30.99	$53.89	$91.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.26 / $183.17 / $281.69	Facility		$57.26	$183.17	$281.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $57.26 / $278.20	Professional		$48.50	$57.26	$278.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $45.09 / $102.32 / $223.84	Facility		$45.09	$102.32	$223.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $77.23 / $118.06	Professional		$42.25	$77.23	$118.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $67.36 / $67.36	Facility		$67.36	$67.36	$67.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $67.36 / $67.36	Professional		$51.56	$67.36	$67.36
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $41.76 / $122.92	Professional		$28.29	$41.76	$122.92