Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.49 / $92.29 / $141.93	Facility		$27.49	$92.29	$141.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $27.83 / $140.16	Professional		$26.47	$27.83	$140.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $171.18 / $222.28 / $8,639.91	Facility		$171.18	$222.28	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $26.47 / $26.47	Professional		$26.47	$26.47	$26.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $45.19 / $113.01	Facility		$22.31	$45.19	$113.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $39.24 / $59.66	Professional		$21.28	$39.24	$59.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $20.02 / $45.95	Professional		$12.06	$20.02	$45.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $92.29 / $141.93	Facility		$28.85	$92.29	$141.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $28.85 / $140.16	Professional		$26.27	$28.85	$140.16
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $51.56 / $113.01	Facility		$22.72	$51.56	$113.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $39.24 / $59.66	Professional		$21.28	$39.24	$59.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $33.94 / $33.94	Facility		$33.94	$33.94	$33.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $33.94 / $40.32	Professional		$29.87	$33.94	$40.32
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $21.04 / $59.06	Professional		$14.25	$21.04	$59.06