Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $92.38 / $127.63	Facility		$19.53	$92.38	$127.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $16.48 / $22.06	Professional		$14.31	$16.48	$22.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $85.07 / $110.47 / $8,639.91	Facility		$85.07	$110.47	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $17.92 / $17.92	Professional		$17.92	$17.92	$17.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $29.88 / $76.06	Facility		$15.10	$29.88	$76.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $26.01 / $34.11	Professional		$10.56	$26.01	$34.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $14.14 / $31.11	Professional		$10.57	$14.14	$31.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $64.75 / $107.66	Facility		$45.77	$64.75	$107.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $13.79 / $16.09	Professional		$13.79	$13.79	$16.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $65.14 / $102.54	Facility		$19.53	$65.14	$102.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $18.14 / $94.91	Professional		$15.00	$18.14	$94.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $30.61 / $76.06	Facility		$15.39	$30.61	$76.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $26.01 / $33.04	Professional		$10.56	$26.01	$33.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $22.98 / $22.98	Facility		$22.98	$22.98	$22.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $22.98 / $24.01	Professional		$20.22	$22.98	$24.01
United Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $13.79 / $39.07	Professional		$10.34	$13.79	$39.07