Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $175.14 / $269.36	Facility		$52.17	$175.14	$269.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $56.14 / $64.41	Professional		$50.88	$56.14	$64.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $324.80 / $421.78 / $8,639.91	Facility		$324.80	$421.78	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $50.24 / $50.24	Professional		$50.24	$50.24	$50.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.33 / $85.78 / $214.06	Facility		$42.33	$85.78	$214.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $73.93 / $112.98	Professional		$40.38	$73.93	$112.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $51.53 / $87.21	Professional		$29.63	$51.53	$87.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $175.14 / $269.36	Facility		$54.75	$175.14	$269.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $54.75 / $266.01	Professional		$46.38	$54.75	$266.01
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $43.13 / $97.85 / $214.06	Facility		$43.13	$97.85	$214.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $73.93 / $112.98	Professional		$40.38	$73.93	$112.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $64.41	Facility		$64.41	$64.41	$64.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $64.41 / $91.68	Professional		$56.68	$64.41	$91.68
United Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $42.00 / $117.87	Professional		$28.98	$42.00	$117.87