Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $161.50 / $161.50	Professional		$152.00	$161.50	$161.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $134.49 / $157.54 / $8,639.91	Facility		$134.49	$157.54	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $157.54 / $157.54 / $157.54	Professional		$157.54	$157.54	$157.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.47 / $156.06 / $156.06	Professional		$81.47	$156.06	$156.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $161.50 / $161.50	Professional		$152.00	$161.50	$161.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $129.62 / $129.62 / $150.41	Facility		$129.62	$129.62	$150.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $129.62 / $150.41	Professional		$129.62	$129.62	$150.41
United Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $209.39	Professional		$167.51	$167.51	$209.39