Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $43.24 / $66.48	Facility		$12.88	$43.24	$66.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $13.04 / $65.67	Professional		$12.40	$13.04	$65.67
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $75.19 / $97.64 / $8,639.91	Facility		$75.19	$97.64	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $12.40 / $12.40	Professional		$12.40	$12.40	$12.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $20.97 / $53.24	Facility		$10.45	$20.97	$53.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $18.17 / $26.23	Professional		$9.32	$18.17	$26.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $9.38 / $21.53	Professional		$7.31	$9.38	$21.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $42.49 / $66.48	Facility		$13.52	$42.49	$66.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $13.52 / $65.67	Professional		$11.93	$13.52	$65.67
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.65 / $22.64 / $53.24	Facility		$10.65	$22.64	$53.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $18.17 / $26.23	Professional		$9.32	$18.17	$26.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $15.90 / $15.90	Facility		$15.90	$15.90	$15.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $15.90 / $21.22	Professional		$13.99	$15.90	$21.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $9.80 / $29.10	Professional		$6.68	$9.80	$29.10