Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.66 / $480.36 / $624.04	Facility		$206.66	$480.36	$624.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $207.33 / $1,454.18	Professional		$204.61	$207.33	$1,454.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $188.68 / $221.98 / $8,459.92	Facility		$188.68	$221.98	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $212.33 / $212.33 / $212.33	Professional		$212.33	$212.33	$212.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.03 / $204.61 / $204.61	Facility		$193.03	$204.61	$204.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $261.38	Professional		$204.61	$204.61	$261.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.59 / $200.06 / $235.37	Professional		$177.59	$200.06	$235.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $207.33 / $352.29 / $624.04	Facility		$207.33	$352.29	$624.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $227.32 / $1,454.18	Professional		$204.61	$227.32	$1,454.18
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $193.03 / $204.61 / $204.61	Facility		$193.03	$204.61	$204.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $200.06 / $204.61 / $261.38	Professional		$200.06	$204.61	$261.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.97 / $199.97 / $232.04	Facility		$199.97	$199.97	$232.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.97 / $199.97 / $232.04	Professional		$199.97	$199.97	$232.04
United Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $204.61 / $257.81	Professional		$81.84	$204.61	$257.81