Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $53.89 / $82.90	Facility		$16.05	$53.89	$82.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $16.05 / $81.86	Professional		$14.24	$16.05	$81.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $104.14 / $8,639.91	Facility		$80.20	$104.14	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $15.46 / $15.46	Professional		$15.46	$15.46	$15.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $25.76 / $66.28	Facility		$13.03	$25.76	$66.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $22.19 / $29.46	Professional		$9.94	$22.19	$29.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $11.69 / $26.84	Professional		$9.11	$11.69	$26.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $53.89 / $82.90	Facility		$16.85	$53.89	$82.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $16.25 / $81.86	Professional		$14.27	$16.25	$81.86
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $26.39 / $66.28	Facility		$13.27	$26.39	$66.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $22.19 / $28.39	Professional		$9.94	$22.19	$28.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $19.82 / $19.82	Facility		$19.82	$19.82	$19.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $19.82 / $22.64	Professional		$17.44	$19.82	$22.64
United Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $23.78 / $23.78	Facility		$17.84	$23.78	$23.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.29 / $34.49	Professional		$8.32	$12.29	$34.49