Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $59.80 / $91.96	Facility		$17.80	$59.80	$91.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $18.03 / $90.82	Professional		$17.14	$18.03	$90.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $110.84 / $143.93 / $8,639.91	Facility		$110.84	$143.93	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $17.14 / $17.14	Professional		$17.14	$17.14	$17.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $29.28 / $72.80	Facility		$14.45	$29.28	$72.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $25.19 / $38.51	Professional		$13.82	$25.19	$38.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $17.59 / $29.77	Professional		$10.11	$17.59	$29.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $59.80 / $91.96	Facility		$18.69	$59.80	$91.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $18.69 / $90.82	Professional		$17.01	$18.69	$90.82
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $33.40 / $72.80	Facility		$14.72	$33.40	$72.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $25.19 / $38.51	Professional		$13.82	$25.19	$38.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $21.99 / $21.99	Facility		$21.99	$21.99	$21.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $21.99 / $31.29	Professional		$19.35	$21.99	$31.29
United Facility/Professional Facility Modifier Low / Median / High Price $8.80 / $11.00 / $15.09	Facility		$8.80	$11.00	$15.09
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $14.29 / $38.51	Professional		$9.90	$14.29	$38.51