Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.39 / $91.54 / $178.78	Facility		$68.39	$91.54	$178.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $92.45	Professional		$91.54	$91.54	$92.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $91.54 / $8,639.91	Facility		$78.15	$91.54	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Facility		$91.54	$91.54	$91.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.68 / $95.00 / $116.93	Professional		$90.68	$95.00	$116.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $68.39 / $91.54 / $178.78	Facility		$68.39	$91.54	$178.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.38 / $91.54 / $92.45	Professional		$81.38	$91.54	$92.45
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $86.36 / $91.54 / $91.54	Facility		$86.36	$91.54	$91.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $99.31	Professional		$91.54	$91.54	$99.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $63.38 / $73.54	Facility		$63.38	$63.38	$73.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $63.38 / $73.54	Professional		$63.38	$63.38	$73.54
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $137.31	Professional		$91.54	$91.54	$137.31