Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $727.67 / $802.30	Facility		$310.97	$727.67	$802.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.68 / $310.97 / $310.97	Professional		$292.68	$310.97	$310.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $295.43 / $347.56 / $8,459.92	Facility		$295.43	$347.56	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $347.56 / $347.56 / $347.56	Professional		$347.56	$347.56	$347.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Facility		$310.97	$310.97	$310.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Professional		$310.97	$310.97	$310.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Professional		$310.97	$310.97	$310.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $466.46 / $802.30	Facility		$310.97	$466.46	$802.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $310.97 / $764.99	Professional		$300.00	$310.97	$764.99
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Facility		$310.97	$310.97	$310.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Professional		$310.97	$310.97	$310.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $347.56 / $347.56 / $382.32	Facility		$347.56	$347.56	$382.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $347.56 / $347.56 / $382.32	Professional		$347.56	$347.56	$382.32
United Facility/Professional Professional Modifier Low / Median / High Price $304.88 / $304.88 / $457.32	Professional		$304.88	$304.88	$457.32