Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $73.72 / $113.40	Facility		$21.96	$73.72	$113.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $21.96 / $26.03	Professional		$13.56	$21.96	$26.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $85.07 / $110.47 / $8,639.91	Facility		$85.07	$110.47	$8,639.91
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 / $79.29	Facility		$17.82	$35.24	$79.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $29.20 / $40.31	Professional		$11.44	$29.20	$40.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $15.99 / $36.71	Professional		$10.61	$15.99	$36.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $73.72 / $113.40	Facility		$21.96	$73.72	$113.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $22.23 / $111.96	Professional		$16.16	$22.23	$111.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $39.42 / $90.19	Facility		$18.14	$39.42	$90.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $29.20 / $39.24	Professional		$10.72	$29.20	$39.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $27.11 / $27.11	Facility		$27.09	$27.11	$27.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $27.11 / $27.11	Professional		$23.86	$27.11	$27.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $16.27 / $47.17	Professional		$11.39	$16.27	$47.17