Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.85 / $128.85 / $128.85	Facility		$128.85	$128.85	$128.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $80.53 / $80.53	Professional		$77.70	$80.53	$80.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $69.62 / $81.91 / $8,459.92	Facility		$69.62	$81.91	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $81.91 / $81.91	Professional		$81.91	$81.91	$81.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $83.69 / $83.69	Facility		$80.53	$83.69	$83.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $83.69 / $86.85	Professional		$80.53	$83.69	$86.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.63 / $78.95 / $94.74	Professional		$72.63	$78.95	$94.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $128.85 / $128.85 / $128.85	Facility		$128.85	$128.85	$128.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $80.53 / $80.53	Professional		$77.70	$80.53	$80.53
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $83.69 / $83.69	Facility		$80.53	$83.69	$83.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $83.69 / $104.53	Professional		$80.53	$83.69	$104.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $97.11 / $97.11	Facility		$97.11	$97.11	$97.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.11 / $97.11 / $97.11	Professional		$97.11	$97.11	$97.11
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $94.74 / $118.43	Professional		$37.90	$94.74	$118.43