Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $169.63 / $200.86	Professional		$87.57	$169.63	$200.86
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $229.39 / $229.39 / $229.39	Professional		$229.39	$229.39	$229.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.75 / $289.75 / $289.75	Facility		$289.75	$289.75	$289.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Professional		$101.80	$101.80	$101.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $311.06 / $382.88 / $613.63	Professional		$311.06	$382.88	$613.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $170.85 / $209.94	Professional		$87.57	$170.85	$209.94
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $289.75 / $289.75 / $289.75	Facility		$289.75	$289.75	$289.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Professional		$101.80	$101.80	$101.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $164.01 / $164.01 / $218.33	Facility		$164.01	$164.01	$218.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $164.01 / $218.33 / $269.14	Professional		$164.01	$218.33	$269.14
United Facility/Professional Professional Modifier Low / Median / High Price $103.43 / $114.44 / $190.73	Professional		$103.43	$114.44	$190.73