Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.50 / $518.83 / $845.79	Facility		$153.50	$518.83	$845.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $153.50 / $181.93	Professional		$15.57	$153.50	$181.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $169.76 / $220.44 / $8,639.91	Facility		$169.76	$220.44	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $147.82 / $147.82 / $147.82	Professional		$147.82	$147.82	$147.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.18 / $246.21 / $550.54	Facility		$123.18	$246.21	$550.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $137.78 / $272.06	Professional		$32.77	$137.78	$272.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $111.81 / $256.60	Professional		$59.06	$111.81	$256.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $153.50 / $483.24 / $792.57	Facility		$153.50	$483.24	$792.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $94.76 / $155.40 / $782.68	Professional		$94.76	$155.40	$782.68
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $246.36 / $629.14	Facility		$79.43	$246.36	$629.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $182.24 / $272.06	Professional		$32.77	$182.24	$272.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $189.51 / $189.51	Facility		$189.51	$189.51	$189.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $189.51 / $189.51	Professional		$47.92	$189.51	$189.51
United Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $95.31 / $284.27	Professional		$22.12	$95.31	$284.27