Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $81.86 / $124.76	Facility		$23.35	$81.86	$124.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $25.13 / $26.14	Professional		$22.31	$25.13	$26.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $188.82 / $8,639.91	Facility		$145.41	$188.82	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $22.49 / $22.49	Professional		$22.49	$22.49	$22.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.39 / $95.62	Facility		$19.95	$38.39	$95.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $33.04 / $50.35	Professional		$18.02	$33.04	$50.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $23.06 / $39.04	Professional		$13.26	$23.06	$39.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.79 / $84.25 / $92.98	Facility		$80.79	$84.25	$92.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Professional		$17.30	$17.30	$17.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $78.39 / $124.76	Facility		$24.51	$78.39	$124.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $25.82 / $119.07	Professional		$20.76	$25.82	$119.07
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $43.81 / $95.62	Facility		$19.30	$43.81	$95.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $33.04 / $50.35	Professional		$18.02	$33.04	$50.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $28.83 / $28.83	Facility		$28.83	$28.83	$28.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $28.83 / $41.05	Professional		$25.37	$28.83	$41.05
United Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $18.45 / $50.52	Professional		$12.97	$18.45	$50.52