Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $47.81 / $73.76	Facility		$13.66	$47.81	$73.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $14.70 / $30.58	Professional		$8.94	$14.70	$30.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $85.07 / $110.47 / $8,639.91	Facility		$85.07	$110.47	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $13.16 / $13.16	Professional		$13.16	$13.16	$13.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $22.47 / $56.50	Facility		$11.09	$22.47	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $19.41 / $29.62	Professional		$10.56	$19.41	$29.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $13.50 / $22.84	Professional		$7.76	$13.50	$22.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.33 / $142.88 / $150.03	Facility		$40.33	$142.88	$150.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $13.06	Professional		$13.06	$13.06	$13.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $47.81 / $75.27	Facility		$14.34	$47.81	$75.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $14.70 / $69.67	Professional		$8.94	$14.70	$69.67
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $25.62 / $56.50	Facility		$11.30	$25.62	$56.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $19.41 / $29.62	Professional		$10.56	$19.41	$29.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $16.87 / $16.87	Facility		$16.87	$16.87	$16.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $16.87 / $24.01	Professional		$14.85	$16.87	$24.01
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.08 / $29.56	Professional		$7.59	$11.08	$29.56