Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $51.29 / $61.37	Facility		$12.63	$51.29	$61.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $12.04 / $12.63	Professional		$7.88	$12.04	$12.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Professional		$11.59	$11.59	$11.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $21.77 / $48.90	Facility		$14.10	$21.77	$48.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $71.63 / $71.63	Professional		$71.63	$71.63	$71.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $20.05 / $36.70	Professional		$15.60	$20.05	$36.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.31 / $61.37 / $61.37	Facility		$15.31	$61.37	$61.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $12.63 / $61.37	Professional		$10.10	$12.63	$61.37
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $23.03 / $48.90	Facility		$14.48	$23.03	$48.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $71.63 / $71.63	Professional		$71.63	$71.63	$71.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.86 / $14.86 / $16.35	Facility		$14.86	$14.86	$16.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $16.35	Professional		$14.86	$14.86	$16.35
United Facility/Professional Facility Modifier Low / Median / High Price $6.24 / $6.24 / $6.24	Facility		$6.24	$6.24	$6.24
United Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $8.92 / $19.84	Professional		$6.24	$8.92	$19.84