Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.01 / $133.97 / $167.48	Professional		$94.01	$133.97	$167.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $199.04 / $248.80	Professional		$24.88	$199.04	$248.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $174.27	Facility		$174.27	$174.27	$174.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $174.27 / $384.38	Professional		$148.13	$174.27	$384.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $196.83 / $196.83 / $213.95	Professional		$196.83	$196.83	$213.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $94.01 / $133.97 / $169.43	Professional		$94.01	$133.97	$169.43
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $174.27	Facility		$174.27	$174.27	$174.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $174.27 / $384.38	Professional		$22.19	$174.27	$384.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $243.40 / $243.40 / $259.10	Professional		$243.40	$243.40	$259.10
United Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $127.79 / $219.50	Professional		$92.61	$127.79	$219.50