Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $108.12 / $129.38	Facility		$26.63	$108.12	$129.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $25.38 / $26.63	Professional		$3.90	$25.38	$26.63
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 $24.44 / $24.44 / $24.44	Professional		$24.44	$24.44	$24.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $40.72 / $104.31	Facility		$20.59	$40.72	$104.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $35.93 / $44.91	Professional		$35.93	$35.93	$44.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $18.48 / $42.42	Professional		$14.41	$18.48	$42.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.27 / $117.49 / $129.38	Facility		$32.27	$117.49	$129.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $25.69 / $129.38	Professional		$23.50	$25.69	$129.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $41.71 / $104.31	Facility		$21.89	$41.71	$104.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $35.93 / $44.91	Professional		$35.93	$35.93	$44.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $31.33 / $34.46	Facility		$31.33	$31.33	$34.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $31.33 / $34.46	Professional		$27.57	$31.33	$34.46
United Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $18.80 / $37.60	Facility		$18.80	$18.80	$37.60
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $18.80 / $54.51	Professional		$13.16	$18.80	$54.51