Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $88.56 / $109.73	Professional		$72.58	$88.56	$109.73
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $127.52 / $151.90 / $151.90	Professional		$127.52	$151.90	$151.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $139.79	Facility		$64.17	$64.17	$139.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $64.17 / $253.13	Professional		$54.54	$64.17	$253.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.50 / $134.50 / $146.19	Professional		$134.50	$134.50	$146.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $92.17 / $133.90	Professional		$72.58	$92.17	$133.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $139.79	Facility		$64.17	$64.17	$139.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $64.17 / $253.13	Professional		$14.75	$64.17	$253.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $159.40 / $180.00	Professional		$156.44	$159.40	$180.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.77 / $91.24 / $190.50	Professional		$67.77	$91.24	$190.50