Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.39 / $106.97 / $170.94	Facility		$65.39	$106.97	$170.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $108.04	Professional		$106.97	$106.97	$108.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $91.32 / $106.97 / $8,639.91	Facility		$91.32	$106.97	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $106.97 / $106.97	Facility		$100.91	$106.97	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $144.82	Professional		$106.97	$106.97	$144.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $65.39 / $106.97 / $170.94	Facility		$65.39	$106.97	$170.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $106.97 / $110.18	Professional		$77.81	$106.97	$110.18
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $106.97 / $106.97	Facility		$100.91	$106.97	$106.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $111.00	Professional		$106.97	$106.97	$111.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $8.25 / $8.25	Facility		$8.25	$8.25	$8.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $8.25 / $8.42	Professional		$8.25	$8.25	$8.42
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $133.71	Professional		$106.97	$106.97	$133.71