Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.55 / $381.23 / $381.23	Facility		$102.55	$381.23	$381.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $381.23 / $381.23	Professional		$358.80	$381.23	$381.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $119.93 / $141.09 / $8,459.92	Facility		$119.93	$141.09	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $141.09 / $141.09 / $141.09	Professional		$141.09	$141.09	$141.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Facility		$381.23	$381.23	$381.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $80.75 / $95.00	Professional		$80.75	$80.75	$95.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $102.55 / $115.47 / $381.23	Facility		$102.55	$115.47	$381.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $381.23 / $381.23	Professional		$109.01	$381.23	$381.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Facility		$381.23	$381.23	$381.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $536.75 / $536.75 / $590.42	Facility		$536.75	$536.75	$590.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $536.75 / $536.75 / $590.42	Professional		$536.75	$536.75	$590.42
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $508.95	Professional		$390.00	$390.00	$508.95