Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $51.42 / $79.09	Facility		$15.32	$51.42	$79.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $15.51 / $78.09	Professional		$14.75	$15.51	$78.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $95.40 / $123.88 / $8,639.91	Facility		$95.40	$123.88	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $14.75 / $14.75	Professional		$14.75	$14.75	$14.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $25.18 / $63.02	Facility		$12.43	$25.18	$63.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $21.48 / $33.01	Professional		$11.80	$21.48	$33.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $11.16 / $25.60	Professional		$8.69	$11.16	$25.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $51.42 / $79.09	Facility		$16.07	$51.42	$79.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $16.07 / $78.09	Professional		$14.64	$16.07	$78.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $28.74 / $63.02	Facility		$12.66	$28.74	$63.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $21.48 / $33.01	Professional		$11.80	$21.48	$33.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $18.91 / $18.91	Facility		$18.91	$18.91	$18.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $18.91 / $18.91	Professional		$13.47	$18.91	$18.91
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.09 / $38.06	Professional		$8.51	$14.09	$38.06