Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $121.07 / $146.75	Facility		$29.83	$121.07	$146.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $28.42 / $29.83	Professional		$21.05	$28.42	$29.83
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 $27.37 / $27.37 / $27.37	Professional		$27.37	$27.37	$27.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $51.76 / $116.27	Facility		$33.29	$51.76	$116.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.13 / $169.13 / $169.13	Professional		$169.13	$169.13	$169.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $47.37 / $86.67	Professional		$36.84	$47.37	$86.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $36.14 / $99.63 / $144.91	Facility		$36.14	$99.63	$144.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $29.83 / $144.91	Professional		$23.03	$29.83	$144.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $54.08 / $116.27	Facility		$34.00	$54.08	$116.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $169.13 / $169.13 / $169.13	Professional		$169.13	$169.13	$169.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $38.60	Facility		$35.09	$35.09	$38.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $38.60	Professional		$35.09	$35.09	$38.60
United Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $42.11 / $42.11	Facility		$31.58	$42.11	$42.11
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $52.64	Professional		$14.74	$21.05	$52.64