Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $71.34 / $109.75	Facility		$21.25	$71.34	$109.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $21.25 / $108.37	Professional		$20.47	$21.25	$108.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $118.92 / $154.41 / $8,639.91	Facility		$118.92	$154.41	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $20.47 / $20.47	Professional		$20.47	$20.47	$20.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $34.11 / $86.93	Facility		$17.23	$34.11	$86.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $29.81 / $41.47	Professional		$14.75	$29.81	$41.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $15.48 / $35.53	Professional		$12.07	$15.48	$35.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $71.34 / $109.75	Facility		$22.30	$71.34	$109.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $21.82 / $108.37	Professional		$19.68	$21.82	$108.37
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $35.82 / $86.93	Facility		$17.57	$35.82	$86.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $29.81 / $41.47	Professional		$14.75	$29.81	$41.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $26.24 / $26.24	Facility		$26.24	$26.24	$26.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $26.24 / $33.58	Professional		$23.09	$26.24	$33.58
United Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $15.74 / $48.02	Professional		$11.02	$15.74	$48.02