Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $52.75 / $81.16	Facility		$15.71	$52.75	$81.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $17.32 / $18.23	Professional		$15.33	$17.32	$18.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $97.85 / $127.07 / $8,639.91	Facility		$97.85	$127.07	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $15.13 / $15.13	Professional		$15.13	$15.13	$15.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $25.83 / $64.11	Facility		$12.75	$25.83	$64.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $22.30 / $33.85	Professional		$12.11	$22.30	$33.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $11.45 / $26.27	Professional		$8.92	$11.45	$26.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $52.75 / $81.16	Facility		$16.48	$52.75	$81.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $17.37 / $80.12	Professional		$13.97	$17.37	$80.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $29.47 / $64.11	Facility		$12.99	$29.47	$64.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $22.30 / $33.85	Professional		$12.11	$22.30	$33.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $19.39 / $19.39	Facility		$19.39	$19.39	$19.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $19.39 / $27.61	Professional		$17.07	$19.39	$27.61
United Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $12.61 / $35.50	Professional		$8.73	$12.61	$35.50