Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $80.48 / $99.88	Professional		$66.63	$80.48	$99.88
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $105.74 / $145.34	Professional		$89.88	$105.74	$145.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $113.46	Facility		$113.46	$113.46	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.42 / $122.08 / $213.82	Professional		$74.42	$122.08	$213.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $103.08 / $112.04	Professional		$103.08	$103.08	$112.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $81.73 / $158.97	Professional		$68.25	$81.73	$158.97
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $126.95	Facility		$113.46	$113.46	$126.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $139.90 / $213.82	Professional		$78.90	$139.90	$213.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.24 / $113.36 / $113.36	Professional		$112.24	$113.36	$113.36
United Facility/Professional Professional Modifier Low / Median / High Price $90.13 / $119.76 / $175.92	Professional		$90.13	$119.76	$175.92