Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.84 / $209.17	Facility		$76.09	$76.84	$209.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $76.84	Professional		$76.09	$76.09	$76.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $76.09 / $8,639.91	Facility		$64.95	$76.09	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Professional		$76.09	$76.09	$76.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Facility		$76.09	$76.09	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $82.55	Professional		$76.09	$76.09	$82.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $76.09 / $97.19	Professional		$64.68	$76.09	$97.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $80.02 / $209.17	Facility		$76.09	$80.02	$209.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $80.02	Professional		$76.09	$76.09	$80.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $71.78 / $76.09 / $76.09	Facility		$71.78	$76.09	$76.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $93.25	Professional		$76.09	$76.09	$93.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $170.26 / $170.26 / $197.57	Facility		$170.26	$170.26	$197.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $170.26 / $170.26 / $197.57	Professional		$170.26	$170.26	$197.57
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $139.24	Professional		$76.09	$76.09	$139.24