Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $568.97 / $739.18	Facility		$243.61	$568.97	$739.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $246.04 / $294.20	Professional		$243.61	$246.04	$294.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $224.65 / $264.29 / $8,459.92	Facility		$224.65	$264.29	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $252.80 / $252.80 / $252.80	Professional		$252.80	$252.80	$252.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.82 / $243.61 / $243.61	Facility		$229.82	$243.61	$243.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $300.27	Professional		$243.61	$243.61	$300.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $238.54 / $280.63	Professional		$211.43	$238.54	$280.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $245.58 / $374.45 / $739.18	Facility		$245.58	$374.45	$739.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $245.58 / $255.31 / $294.70	Professional		$245.58	$255.31	$294.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $229.82 / $243.61 / $243.61	Facility		$229.82	$243.61	$243.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $240.23 / $243.61 / $300.27	Professional		$240.23	$243.61	$300.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $219.39 / $219.39 / $254.57	Facility		$219.39	$219.39	$254.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $219.39 / $219.39 / $254.57	Professional		$219.39	$219.39	$254.57
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $243.61 / $292.33	Professional		$97.44	$243.61	$292.33