Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $167.00 / $326.00	Facility		$110.00	$167.00	$326.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $220.16 / $300.00	Facility		$115.00	$220.16	$300.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $353.10 / $353.10 / $353.10	Facility		$353.10	$353.10	$353.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $167.00 / $326.00	Facility		$110.00	$167.00	$326.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $220.16 / $300.00	Facility		$115.00	$220.16	$300.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Facility		$162.00	$162.00	$162.00
United Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $671.00 / $1,095.00	Facility		$195.00	$671.00	$1,095.00