Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $77.50 / $119.22	Facility		$23.09	$77.50	$119.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $23.09 / $117.71	Professional		$18.76	$23.09	$117.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $116.57 / $151.38 / $8,639.91	Facility		$116.57	$151.38	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $22.23 / $22.23	Professional		$22.23	$22.23	$22.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $37.06 / $94.53	Facility		$18.73	$37.06	$94.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $32.63 / $46.12	Professional		$16.46	$32.63	$46.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $16.82 / $38.59	Professional		$11.56	$16.82	$38.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $77.50 / $119.22	Facility		$24.23	$77.50	$119.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $24.23 / $117.71	Professional		$20.52	$24.23	$117.71
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $39.95 / $94.53	Facility		$19.09	$39.95	$94.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $32.63 / $46.12	Professional		$16.46	$32.63	$46.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Facility		$28.50	$28.50	$28.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $28.50 / $32.90	Professional		$25.08	$28.50	$32.90
United Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $17.67 / $52.16	Professional		$12.83	$17.67	$52.16