Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $93.77 / $160.76	Facility		$22.77	$93.77	$160.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $23.92 / $43.77	Professional		$21.70	$23.92	$43.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $135.05 / $175.37 / $8,639.91	Facility		$135.05	$175.37	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $20.90 / $20.90	Professional		$20.90	$20.90	$20.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $35.67 / $89.10	Facility		$17.61	$35.67	$89.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $30.98 / $46.97	Professional		$16.77	$30.98	$46.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $21.43 / $36.27	Professional		$12.32	$21.43	$36.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.49 / $80.54 / $147.13	Facility		$43.49	$80.54	$147.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $22.78 / $25.50	Professional		$16.07	$22.78	$25.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $76.56 / $153.69	Facility		$22.78	$76.56	$153.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $23.98 / $110.64	Professional		$17.41	$23.98	$110.64
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $40.67 / $89.10	Facility		$17.93	$40.67	$89.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $30.98 / $46.97	Professional		$16.77	$30.98	$46.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $26.79 / $26.79	Facility		$26.79	$26.79	$26.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $26.79 / $38.11	Professional		$23.58	$26.79	$38.11
United Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $17.60 / $49.03	Professional		$12.06	$17.60	$49.03