Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.71 / $219.72 / $274.64	Professional		$138.71	$219.72	$274.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $318.39 / $418.20	Professional		$41.82	$318.39	$418.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $240.34 / $298.26	Facility		$240.34	$240.34	$298.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.29 / $240.34 / $604.69	Professional		$204.29	$240.34	$604.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.71 / $224.62 / $318.39	Professional		$138.71	$224.62	$318.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $240.34 / $298.26	Facility		$240.34	$240.34	$298.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $240.34 / $604.69	Professional		$36.46	$240.34	$604.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $298.88 / $398.00 / $398.00	Professional		$298.88	$398.00	$398.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $221.87 / $375.64	Professional		$154.91	$221.87	$375.64