Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $52.53 / $80.79	Facility		$15.65	$52.53	$80.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $15.84 / $79.79	Professional		$15.07	$15.84	$79.79
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 $15.07 / $15.07 / $15.07	Professional		$15.07	$15.07	$15.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $25.73 / $64.11	Facility		$12.69	$25.73	$64.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $22.30 / $33.01	Professional		$11.80	$22.30	$33.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $11.40 / $26.16	Professional		$5.27	$11.40	$26.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $52.53 / $80.79	Facility		$16.42	$52.53	$80.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $16.42 / $79.79	Professional		$14.64	$16.42	$79.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $28.74 / $64.11	Facility		$12.94	$28.74	$64.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $22.30 / $33.01	Professional		$11.80	$22.30	$33.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Facility		$19.32	$19.32	$19.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $19.32 / $19.32	Professional		$6.73	$19.32	$19.32
United Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $12.43 / $38.88	Professional		$8.69	$12.43	$38.88