Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $76.76 / $107.89	Facility		$20.90	$76.76	$107.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $22.43 / $25.80	Professional		$20.38	$22.43	$25.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $168.95 / $8,639.91	Facility		$130.11	$168.95	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $34.36 / $85.84	Facility		$16.95	$34.36	$85.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $29.74 / $45.28	Professional		$16.14	$29.74	$45.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $15.22 / $34.93	Professional		$11.87	$15.22	$34.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.93 / $73.15 / $112.86	Facility		$21.93	$73.15	$112.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $21.93 / $106.55	Professional		$18.57	$21.93	$106.55
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $39.19 / $85.84	Facility		$17.27	$39.19	$85.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $29.74 / $45.28	Professional		$16.14	$29.74	$45.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $25.80 / $25.80	Facility		$25.80	$25.80	$25.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $25.80 / $36.72	Professional		$22.70	$25.80	$36.72
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.82 / $45.20	Professional		$10.84	$15.82	$45.20