Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.09 / $87.82 / $154.13	Facility		$25.09	$87.82	$154.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $26.99 / $28.08	Professional		$24.47	$26.99	$28.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $156.22 / $202.86 / $8,639.91	Facility		$156.22	$202.86	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $24.16 / $24.16	Professional		$24.16	$24.16	$24.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $41.26 / $103.23	Facility		$20.36	$41.26	$103.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $35.52 / $54.16	Professional		$19.41	$35.52	$54.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $18.28 / $41.95	Professional		$14.25	$18.28	$41.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $88.31 / $360.09	Facility		$43.43	$88.31	$360.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.09 / $84.24 / $138.25	Facility		$25.09	$84.24	$138.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $27.87 / $127.95	Professional		$22.31	$27.87	$127.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $47.06 / $103.23	Facility		$20.74	$47.06	$103.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $35.52 / $54.16	Professional		$19.41	$35.52	$54.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $30.98 / $30.98	Facility		$30.98	$30.98	$30.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $30.98 / $44.09	Professional		$27.26	$30.98	$44.09
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $19.21 / $58.86	Professional		$13.01	$19.21	$58.86