Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.55 / $176.42 / $271.37	Facility		$52.55	$176.42	$271.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $53.20 / $267.95	Professional		$50.61	$53.20	$267.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $327.14 / $424.83 / $8,639.91	Facility		$327.14	$424.83	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $50.61 / $50.61	Professional		$50.61	$50.61	$50.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.64 / $86.39 / $215.15	Facility		$42.64	$86.39	$215.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $74.75 / $113.83	Professional		$40.69	$74.75	$113.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $38.28 / $87.85	Professional		$24.69	$38.28	$87.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $176.42 / $271.37	Facility		$55.15	$176.42	$271.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $55.15 / $267.95	Professional		$50.20	$55.15	$267.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $43.44 / $98.55 / $215.15	Facility		$43.44	$98.55	$215.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $74.75 / $113.83	Professional		$40.69	$74.75	$113.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $64.88 / $64.88	Facility		$64.88	$64.88	$64.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $64.88 / $92.33	Professional		$57.09	$64.88	$92.33
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $42.00 / $110.30	Professional		$29.20	$42.00	$110.30