Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.61 / $62.46 / $96.09	Facility		$18.61	$62.46	$96.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $18.61 / $94.87	Professional		$15.41	$18.61	$94.87
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $57.27 / $8,639.91	Facility		$44.11	$57.27	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $17.92 / $17.92	Professional		$17.92	$17.92	$17.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $29.86 / $76.06	Facility		$15.09	$29.86	$76.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $26.01 / $34.11	Professional		$10.87	$26.01	$34.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $13.55 / $31.10	Professional		$10.57	$13.55	$31.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $62.46 / $94.87	Facility		$19.52	$62.46	$94.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $18.84 / $94.87	Professional		$15.41	$18.84	$94.87
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $30.59 / $76.06	Facility		$15.38	$30.59	$76.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $26.01 / $33.04	Professional		$10.87	$26.01	$33.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Facility		$22.97	$22.97	$22.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $22.97 / $22.97	Professional		$12.45	$22.97	$22.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $13.78 / $39.04	Professional		$8.63	$13.78	$39.04