Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.53 / $139.91	Facility		$53.00	$53.53	$139.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.53	Professional		$53.00	$53.00	$53.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $45.05 / $53.00 / $79.50	Facility		$45.05	$53.00	$79.50
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Professional		$53.00	$53.00	$53.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $57.50	Professional		$53.00	$53.00	$57.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $53.00 / $67.70	Professional		$45.05	$53.00	$67.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.53 / $139.91	Facility		$53.00	$53.53	$139.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.53	Professional		$53.00	$53.00	$53.53
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $53.00 / $53.00	Facility		$50.00	$53.00	$53.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $67.50	Professional		$53.00	$53.00	$67.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $175.72 / $175.72 / $203.90	Facility		$175.72	$175.72	$203.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $175.72 / $175.72 / $203.90	Professional		$175.72	$175.72	$203.90
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $91.35	Professional		$53.00	$53.00	$91.35