Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $86.61 / $103.66	Facility		$29.07	$86.61	$103.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $20.32 / $20.83	Professional		$14.76	$20.32	$20.83
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 $19.57 / $19.57 / $44.22	Professional		$19.57	$19.57	$44.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.83 / $37.25 / $83.67	Facility		$23.83	$37.25	$83.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $30.64 / $36.72	Professional		$30.64	$30.64	$36.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $33.89 / $33.99	Professional		$26.36	$33.89	$33.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $94.13 / $103.66	Facility		$29.07	$94.13	$103.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $20.32 / $103.66	Professional		$18.28	$20.32	$103.66
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $39.04 / $83.67	Facility		$24.48	$39.04	$83.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $36.72 / $120.98	Professional		$30.64	$36.72	$120.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $25.10 / $30.64	Facility		$25.10	$25.10	$30.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $25.10 / $30.64	Professional		$25.10	$25.10	$30.64
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $15.06 / $37.65	Professional		$10.54	$15.06	$37.65