Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $212.47 / $297.89	Facility		$57.70	$212.47	$297.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $57.70 / $294.18	Professional		$46.86	$57.70	$294.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $263.91 / $342.71 / $8,639.91	Facility		$263.91	$342.71	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $55.56 / $55.56	Professional		$55.56	$55.56	$55.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $92.60 / $236.88	Facility		$46.81	$92.60	$236.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $80.34 / $106.47	Professional		$32.77	$80.34	$106.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $42.03 / $96.45	Professional		$32.77	$42.03	$96.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $193.69 / $297.89	Facility		$60.55	$193.69	$297.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $58.41 / $294.18	Professional		$48.44	$58.41	$294.18
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $47.69 / $94.85 / $236.88	Facility		$47.69	$94.85	$236.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $80.34 / $102.22	Professional		$32.77	$80.34	$102.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $71.23 / $71.23	Facility		$71.23	$71.23	$71.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $62.68 / $71.23 / $74.48	Professional		$62.68	$71.23	$74.48
United Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $42.74 / $130.35	Professional		$32.04	$42.74	$130.35