Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $99.52 / $177.23	Facility		$25.10	$99.52	$177.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $26.37 / $42.50	Professional		$23.92	$26.37	$42.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $148.93 / $193.40 / $8,639.91	Facility		$148.93	$193.40	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $23.03 / $23.03	Professional		$23.03	$23.03	$23.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.41 / $39.31 / $97.79	Facility		$19.41	$39.31	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $33.86 / $51.62	Professional		$18.48	$33.86	$51.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $17.42 / $39.97	Professional		$13.58	$17.42	$39.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.53 / $82.75 / $169.87	Facility		$42.53	$82.75	$169.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $23.11 / $28.50	Professional		$17.72	$23.11	$28.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $80.30 / $177.23	Facility		$25.10	$80.30	$177.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $26.37 / $121.96	Professional		$22.14	$26.37	$121.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.77 / $44.86 / $97.79	Facility		$19.77	$44.86	$97.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $33.86 / $51.62	Professional		$18.48	$33.86	$51.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $29.53 / $29.53	Facility		$29.53	$29.53	$29.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $29.53 / $42.03	Professional		$25.99	$29.53	$42.03
United Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $24.76 / $56.11	Professional		$13.29	$24.76	$56.11