Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.24 / $89.75 / $217.56	Facility		$83.24	$89.75	$217.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $90.64	Professional		$89.75	$89.75	$90.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $76.62 / $89.75 / $8,639.91	Facility		$76.62	$89.75	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Facility		$89.75	$89.75	$89.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $92.92	Professional		$89.75	$89.75	$92.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $89.75 / $114.64	Professional		$76.29	$89.75	$114.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $83.24 / $89.75 / $217.56	Facility		$83.24	$89.75	$217.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $90.64	Professional		$89.75	$89.75	$90.64
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $84.67 / $89.75 / $89.75	Facility		$84.67	$89.75	$89.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $93.13	Professional		$89.75	$89.75	$93.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.23 / $61.23 / $71.05	Facility		$61.23	$61.23	$71.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $61.23 / $71.05	Professional		$61.23	$61.23	$71.05
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $129.97	Professional		$89.75	$89.75	$129.97