Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.61 / $203.70 / $254.63	Professional		$128.61	$203.70	$254.63
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $295.23 / $387.73	Professional		$38.78	$295.23	$387.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.16 / $238.16 / $238.16	Facility		$238.16	$238.16	$238.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $238.16 / $477.66	Professional		$202.44	$238.16	$477.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $356.71 / $356.71 / $387.73	Professional		$356.71	$356.71	$387.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $128.61 / $203.70 / $295.23	Professional		$128.61	$203.70	$295.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $238.16 / $238.16 / $238.16	Facility		$238.16	$238.16	$238.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $238.16 / $477.66	Professional		$202.44	$238.16	$477.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $369.04 / $369.04	Professional		$277.20	$369.04	$369.04
United Facility/Professional Professional Modifier Low / Median / High Price $128.96 / $193.43 / $322.39	Professional		$128.96	$193.43	$322.39