Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $107.75 / $153.97	Professional		$54.99	$107.75	$153.97
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $175.84 / $175.84 / $175.84	Professional		$175.84	$175.84	$175.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.55 / $180.55 / $180.55	Facility		$180.55	$180.55	$180.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Professional		$63.92	$63.92	$63.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $166.78 / $205.29 / $329.02	Professional		$166.78	$205.29	$329.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $108.68 / $153.97	Professional		$54.99	$108.68	$153.97
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $180.55 / $180.55 / $180.55	Facility		$180.55	$180.55	$180.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Professional		$63.92	$63.92	$63.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $125.74 / $125.74 / $167.37	Facility		$125.74	$125.74	$167.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.74 / $167.37 / $167.37	Professional		$125.74	$167.37	$167.37
United Facility/Professional Professional Modifier Low / Median / High Price $66.44 / $87.73 / $144.33	Professional		$66.44	$87.73	$144.33