Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $160.51 / $419.55	Facility		$158.91	$160.51	$419.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $486.60	Professional		$158.91	$158.91	$486.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $146.55 / $172.41 / $8,459.92	Facility		$146.55	$172.41	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $164.91 / $164.91 / $164.91	Professional		$164.91	$164.91	$164.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $158.91 / $158.91	Facility		$149.91	$158.91	$158.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $189.47	Professional		$158.91	$158.91	$189.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $152.91 / $179.91	Professional		$137.93	$152.91	$179.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $160.51 / $419.55	Facility		$158.91	$160.51	$419.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $160.51 / $486.60	Professional		$158.91	$160.51	$486.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $158.91 / $158.91	Facility		$149.91	$158.91	$158.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $158.91 / $189.47	Professional		$151.58	$158.91	$189.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $139.51 / $161.88	Facility		$139.51	$139.51	$161.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $139.51 / $139.51 / $161.88	Professional		$139.51	$139.51	$161.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $158.91 / $229.39	Professional		$63.57	$158.91	$229.39