Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $69.12 / $87.33	Professional		$50.63	$69.12	$87.33
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $100.44 / $126.21	Professional		$12.62	$100.44	$126.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $45.00 / $191.72	Professional		$38.25	$45.00	$191.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $116.11 / $126.21	Professional		$116.11	$116.11	$126.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.82 / $72.58 / $105.74	Professional		$55.82	$72.58	$105.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $45.00 / $191.72	Professional		$38.25	$45.00	$191.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $125.55 / $132.18	Professional		$109.14	$125.55	$132.18
United Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $72.92 / $120.33	Professional		$49.88	$72.92	$120.33