Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $69.17 / $180.81	Facility		$68.48	$69.17	$180.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $69.17	Professional		$68.48	$68.48	$69.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $58.47 / $68.48 / $8,639.91	Facility		$58.47	$68.48	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Professional		$68.48	$68.48	$68.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Professional		$68.48	$68.48	$68.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $68.48 / $87.48	Professional		$58.22	$68.48	$87.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $69.17 / $180.81	Facility		$68.48	$69.17	$180.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $82.31	Professional		$68.48	$68.48	$82.31
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.61 / $68.48 / $68.48	Facility		$64.61	$68.48	$68.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $70.48	Professional		$68.48	$68.48	$70.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $77.31 / $89.71	Facility		$77.31	$77.31	$89.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $77.31 / $89.71	Professional		$77.31	$77.31	$89.71
United Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $68.48 / $85.84	Professional		$65.06	$68.48	$85.84