Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $42.01 / $64.64	Facility		$12.51	$42.01	$64.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.74 / $23.30	Professional		$12.12	$12.74	$23.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $30.05 / $39.02 / $8,639.91	Facility		$30.05	$39.02	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $12.05	Professional		$12.05	$12.05	$12.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.15 / $20.14 / $51.07	Facility		$10.15	$20.14	$51.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $17.76 / $24.97	Professional		$9.01	$17.76	$24.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $9.11 / $20.92	Professional		$7.11	$9.11	$20.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.85 / $35.83 / $141.94	Facility		$24.85	$35.83	$141.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $9.27	Professional		$5.50	$5.50	$9.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $42.01 / $64.64	Facility		$13.13	$42.01	$64.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $12.84 / $63.81	Professional		$11.12	$12.84	$63.81
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $21.65 / $51.07	Facility		$10.34	$21.65	$51.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $17.76 / $24.97	Professional		$9.01	$17.76	$24.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $15.45 / $15.45	Facility		$15.45	$15.45	$15.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $15.45 / $15.45	Professional		$8.49	$15.45	$15.45
United Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $9.27 / $23.18	Professional		$4.34	$9.27	$23.18