Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $69.69 / $89.17	Professional		$52.45	$69.69	$89.17
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $101.26 / $125.82	Professional		$12.58	$101.26	$125.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $104.45	Facility		$88.16	$88.16	$104.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $88.16 / $196.41	Professional		$74.94	$88.16	$196.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.75 / $115.75 / $125.82	Professional		$115.75	$115.75	$125.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $69.69 / $95.09	Professional		$52.45	$69.69	$95.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $104.45	Facility		$88.16	$88.16	$104.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $88.16 / $196.41	Professional		$74.94	$88.16	$196.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $113.06 / $126.58 / $139.71	Professional		$113.06	$126.58	$139.71
United Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $78.56 / $142.09	Professional		$58.60	$78.56	$142.09