Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $77.40 / $113.40	Facility		$23.04	$77.40	$113.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $21.96 / $23.04	Professional		$17.79	$21.96	$23.04
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 $21.15 / $21.15 / $21.15	Professional		$21.15	$21.15	$21.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $35.24 / $90.19	Facility		$17.82	$35.24	$90.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $31.39 / $39.24	Professional		$31.39	$31.39	$39.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $15.99 / $36.71	Professional		$12.47	$15.99	$36.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $27.92 / $74.22 / $113.40	Facility		$27.92	$74.22	$113.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $22.23 / $111.96	Professional		$17.79	$22.23	$111.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $36.10 / $90.19	Facility		$18.94	$36.10	$90.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $31.39 / $39.24	Professional		$31.39	$31.39	$39.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $27.11 / $29.82	Facility		$27.11	$27.11	$29.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $27.11 / $29.82	Professional		$23.86	$27.11	$29.82
United Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $13.56 / $13.56	Facility		$10.84	$13.56	$13.56
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $16.27 / $47.17	Professional		$11.39	$16.27	$47.17