Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $106.04 / $125.10	Professional		$48.95	$106.04	$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 $243.07 / $243.07 / $243.07	Facility		$243.07	$243.07	$243.07
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 $65.14 / $115.07 / $191.45	Professional		$65.14	$115.07	$191.45
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $243.07 / $243.07 / $243.07	Facility		$243.07	$243.07	$243.07
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 $60.58 / $71.98 / $164.95	Professional		$60.58	$71.98	$164.95