Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.63 / $119.62 / $183.97	Facility		$35.63	$119.62	$183.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $35.63 / $42.23	Professional		$23.32	$35.63	$42.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $221.88 / $288.12 / $8,639.91	Facility		$221.88	$288.12	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $34.31	Professional		$34.31	$34.31	$34.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $58.71 / $145.60	Facility		$28.91	$58.71	$145.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $50.39 / $88.01	Professional		$32.61	$50.39	$88.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $25.95 / $59.56	Professional		$20.23	$25.95	$59.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.39 / $119.62 / $183.97	Facility		$37.39	$119.62	$183.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $37.39 / $181.68	Professional		$23.32	$37.39	$181.68
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $66.45 / $145.60	Facility		$29.45	$66.45	$145.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $50.39 / $88.01	Professional		$32.61	$50.39	$88.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $43.99	Facility		$43.99	$43.99	$43.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $43.99 / $62.62	Professional		$38.71	$43.99	$62.62
United Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $22.00 / $30.18	Facility		$17.60	$22.00	$30.18
United Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $28.91 / $80.50	Professional		$19.80	$28.91	$80.50