Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $72.61 / $93.59	Professional		$52.07	$72.61	$93.59
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $105.53 / $137.56	Professional		$13.76	$105.53	$137.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $102.21	Facility		$57.76	$57.76	$102.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $193.13	Professional		$49.10	$57.76	$193.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $126.56 / $137.56	Professional		$126.56	$126.56	$137.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $72.88 / $102.41	Professional		$52.07	$72.88	$102.41
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $102.21	Facility		$57.76	$57.76	$102.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $193.13	Professional		$49.10	$57.76	$193.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $131.91 / $134.60	Professional		$104.13	$131.91	$134.60
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.67 / $133.43	Professional		$51.29	$72.67	$133.43