Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.90 / $137.32 / $211.23	Facility		$40.90	$137.32	$211.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $36.77 / $45.21	Professional		$26.77	$36.77	$45.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $254.69 / $330.74 / $8,639.91	Facility		$254.69	$330.74	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.39 / $39.39 / $39.39	Professional		$39.39	$39.39	$39.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $67.26 / $167.34	Facility		$33.19	$67.26	$167.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $57.82 / $77.86	Professional		$28.89	$57.82	$77.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $29.80 / $68.38	Professional		$23.23	$29.80	$68.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $137.32 / $211.23	Facility		$42.93	$137.32	$211.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $40.90 / $208.57	Professional		$31.82	$40.90	$208.57
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $74.22 / $167.34	Facility		$33.81	$74.22	$167.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $57.82 / $77.86	Professional		$28.89	$57.82	$77.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Facility		$50.50	$50.50	$50.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $50.50 / $71.89	Professional		$44.44	$50.50	$71.89
United Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $30.97 / $92.42	Professional		$22.73	$30.97	$92.42