Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $74.09 / $96.04	Professional		$52.07	$74.09	$96.04
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $127.25 / $141.38	Professional		$14.14	$127.25	$141.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $103.92	Facility		$96.42	$96.42	$103.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $96.42 / $193.13	Professional		$81.96	$96.42	$193.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $130.08 / $141.38	Professional		$130.08	$130.08	$141.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $74.25 / $102.44	Professional		$52.07	$74.25	$102.44
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $103.92	Facility		$96.42	$96.42	$103.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $96.42 / $193.13	Professional		$81.96	$96.42	$193.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $134.62 / $137.31	Professional		$104.13	$134.62	$137.31
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.67 / $121.11	Professional		$51.29	$72.67	$121.11