Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $45.68 / $66.92	Facility		$13.60	$45.68	$66.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $12.96 / $13.60	Professional		$12.64	$12.96	$13.60
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 $12.48 / $12.48 / $12.48	Professional		$12.48	$12.48	$12.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $20.80 / $53.24	Facility		$10.52	$20.80	$53.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $22.72	Professional		$18.17	$18.17	$22.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $9.44 / $21.66	Professional		$7.36	$9.44	$21.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $43.80 / $66.92	Facility		$16.48	$43.80	$66.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $13.60 / $66.08	Professional		$12.48	$13.60	$66.08
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $21.31 / $53.24	Facility		$11.18	$21.31	$53.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $22.72	Professional		$18.17	$18.17	$22.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $16.00 / $17.60	Facility		$16.00	$16.00	$17.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $16.00 / $17.60	Professional		$14.08	$16.00	$17.60
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $9.92 / $29.28	Professional		$6.72	$9.92	$29.28