Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.25 / $165.33 / $254.27	Facility		$49.25	$165.33	$254.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $49.25 / $251.10	Professional		$9.86	$49.25	$251.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $72.12 / $8,639.91	Facility		$55.54	$72.12	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $47.42 / $47.42	Professional		$47.42	$47.42	$47.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.52 / $78.68 / $176.63	Facility		$39.52	$78.68	$176.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $31.84 / $87.25	Professional		$7.46	$31.84	$87.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $35.86 / $82.32	Professional		$13.55	$35.86	$82.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $49.25 / $143.66 / $251.10	Facility		$49.25	$143.66	$251.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $49.86 / $251.10	Professional		$38.29	$49.86	$251.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $78.23 / $202.11	Facility		$18.22	$78.23	$202.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $58.54 / $87.25	Professional		$7.46	$58.54	$87.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $60.80	Facility		$60.80	$60.80	$60.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $60.80 / $60.80	Professional		$15.68	$60.80	$60.80
United Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $27.36 / $91.20	Professional		$9.23	$27.36	$91.20