Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.83 / $137.08 / $210.81	Facility		$40.83	$137.08	$210.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $40.83 / $54.54	Professional		$16.97	$40.83	$54.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $254.17 / $330.06 / $8,639.91	Facility		$254.17	$330.06	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $39.32 / $39.32	Professional		$39.32	$39.32	$39.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.13 / $67.14 / $167.34	Facility		$33.13	$67.14	$167.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $57.82 / $87.17	Professional		$32.31	$57.82	$87.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $29.74 / $68.26	Professional		$18.18	$29.74	$68.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.85 / $137.08 / $210.81	Facility		$42.85	$137.08	$210.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $45.13 / $208.19	Professional		$31.76	$45.13	$208.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $76.38 / $167.34	Facility		$33.75	$76.38	$167.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $57.82 / $87.17	Professional		$32.31	$57.82	$87.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $50.41 / $50.41	Facility		$50.41	$50.41	$50.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $50.41 / $71.72	Professional		$44.36	$50.41	$71.72
United Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $33.11 / $88.31	Professional		$21.17	$33.11	$88.31