Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.32 / $125.27 / $192.70	Facility		$37.32	$125.27	$192.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $37.32 / $44.23	Professional		$24.42	$37.32	$44.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $232.31 / $301.67 / $8,639.91	Facility		$232.31	$301.67	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $35.93 / $35.93	Professional		$35.93	$35.93	$35.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.28 / $61.36 / $153.21	Facility		$30.28	$61.36	$153.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $52.86 / $77.86	Professional		$28.89	$52.86	$77.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $27.18 / $62.38	Professional		$21.19	$27.18	$62.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $125.27 / $192.70	Facility		$39.15	$125.27	$192.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $37.78 / $190.27	Professional		$33.17	$37.78	$190.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $69.27 / $153.21	Facility		$30.85	$69.27	$153.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $52.86 / $77.86	Professional		$28.89	$52.86	$77.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $46.07 / $46.07	Facility		$46.07	$46.07	$46.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $46.07 / $65.59	Professional		$40.54	$46.07	$65.59
United Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $29.48 / $80.70	Professional		$20.73	$29.48	$80.70