Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $66.14 / $84.84	Professional		$42.63	$66.14	$84.84
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $95.03 / $126.71	Professional		$12.67	$95.03	$126.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $89.48	Facility		$78.94	$78.94	$89.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $67.09 / $186.09	Professional		$67.09	$67.09	$186.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $116.57 / $126.71	Professional		$116.57	$116.57	$126.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $69.03 / $91.98	Professional		$42.63	$69.03	$91.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $89.48	Facility		$78.94	$78.94	$89.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $97.75 / $186.09	Professional		$67.09	$97.75	$186.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.88 / $120.16 / $123.30	Professional		$91.88	$120.16	$123.30
United Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $64.12 / $104.15	Professional		$41.66	$64.12	$104.15