Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.61 / $461.36 / $872.02	Facility		$333.61	$461.36	$872.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $465.97	Professional		$461.36	$461.36	$465.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $393.86 / $461.36 / $8,639.91	Facility		$393.86	$461.36	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Professional		$461.36	$461.36	$461.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Facility		$461.36	$461.36	$461.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $478.76	Professional		$461.36	$461.36	$478.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $425.45 / $500.53 / $589.30	Professional		$425.45	$500.53	$589.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $333.61 / $461.36 / $872.02	Facility		$333.61	$461.36	$872.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $397.00 / $461.36 / $465.97	Professional		$397.00	$461.36	$465.97
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $435.24 / $461.36 / $461.36	Facility		$435.24	$461.36	$461.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $541.66	Professional		$461.36	$461.36	$541.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $250.01 / $250.01 / $290.10	Facility		$250.01	$250.01	$290.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $250.01 / $250.01 / $290.10	Professional		$250.01	$250.01	$290.10
United Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $795.15	Professional		$461.36	$461.36	$795.15