Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $43.86 / $67.45	Facility		$13.07	$43.86	$67.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $14.40 / $28.08	Professional		$13.07	$14.40	$28.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $81.27 / $105.54 / $8,639.91	Facility		$81.27	$105.54	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $12.58	Professional		$12.58	$12.58	$12.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $21.47 / $53.24	Facility		$10.60	$21.47	$53.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $18.59 / $28.35	Professional		$10.10	$18.59	$28.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $10.61 / $21.84	Professional		$7.42	$10.61	$21.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $32.47 / $104.93	Facility		$32.47	$32.47	$104.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $9.68 / $9.68	Professional		$9.68	$9.68	$9.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $43.86 / $70.58	Facility		$13.71	$43.86	$70.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $14.43 / $66.62	Professional		$11.61	$14.43	$66.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $24.49 / $53.24	Facility		$10.79	$24.49	$53.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $18.59 / $28.35	Professional		$10.10	$18.59	$28.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $16.13 / $16.13	Facility		$16.13	$16.13	$16.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $16.13 / $22.94	Professional		$14.19	$16.13	$22.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $10.32 / $28.24	Professional		$7.26	$10.32	$28.24