Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $111.34 / $125.10	Professional		$73.48	$111.34	$125.10
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $142.87 / $142.87 / $142.87	Professional		$142.87	$142.87	$142.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.42 / $167.42 / $167.42	Facility		$167.42	$167.42	$167.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Professional		$58.29	$58.29	$58.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $157.16 / $193.45 / $310.02	Professional		$157.16	$193.45	$310.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $115.07 / $125.10	Professional		$73.48	$115.07	$125.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $167.42 / $167.42 / $167.42	Facility		$167.42	$167.42	$167.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Professional		$58.29	$58.29	$58.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $122.99 / $122.99 / $135.97	Facility		$122.99	$122.99	$135.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $135.97 / $135.97	Professional		$122.99	$135.97	$135.97
United Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $71.27 / $118.79	Professional		$54.39	$71.27	$118.79