Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $49.45 / $75.55	Facility		$14.63	$49.45	$75.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $15.35 / $24.74	Professional		$14.27	$15.35	$24.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $104.93 / $136.26 / $8,639.91	Facility		$104.93	$136.26	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $14.09 / $14.09	Professional		$14.09	$14.09	$14.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $24.05 / $59.76	Facility		$12.62	$24.05	$59.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $20.65 / $36.39	Professional		$13.05	$20.65	$36.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $10.66 / $24.45	Professional		$8.31	$10.66	$24.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $49.45 / $75.55	Facility		$15.35	$49.45	$75.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $17.34 / $74.59	Professional		$14.09	$17.34	$74.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $28.04 / $59.76	Facility		$12.62	$28.04	$59.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $20.65 / $36.39	Professional		$13.05	$20.65	$36.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Facility		$18.05	$18.05	$18.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $18.05 / $29.61	Professional		$15.89	$18.05	$29.61
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.56 / $33.04	Professional		$7.59	$11.56	$33.04