Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $65.27 / $90.68	Professional		$44.41	$65.27	$90.68
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $94.59 / $124.24	Professional		$13.80	$94.59	$124.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Facility		$62.10	$62.10	$62.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $62.10 / $208.59	Professional		$52.79	$62.10	$208.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $114.30 / $124.24	Professional		$114.30	$114.30	$124.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $66.73 / $111.29	Professional		$41.21	$66.73	$111.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Facility		$62.10	$62.10	$62.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $62.10 / $208.59	Professional		$52.79	$62.10	$208.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $118.24 / $120.60	Professional		$88.82	$118.24	$120.60
United Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $66.86 / $103.30	Professional		$48.53	$66.86	$103.30