Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.22 / $243.59 / $258.67	Facility		$98.22	$243.59	$258.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.92 / $106.45 / $296.27	Professional		$87.92	$106.45	$296.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $281.45 / $331.13 / $8,459.92	Facility		$281.45	$331.13	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Facility		$128.69	$128.69	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $296.27 / $296.27	Professional		$296.27	$296.27	$296.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $106.45 / $159.68 / $258.67	Facility		$106.45	$159.68	$258.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $106.45 / $296.27	Professional		$92.25	$106.45	$296.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Facility		$128.69	$128.69	$128.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $364.24	Facility		$331.13	$331.13	$364.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $364.24	Professional		$331.13	$331.13	$364.24
United Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $259.31 / $348.56	Professional		$259.31	$259.31	$348.56