Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.69 / $92.97 / $142.99	Facility		$27.69	$92.97	$142.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $27.69 / $34.19	Professional		$23.01	$27.69	$34.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $20.51	Professional		$20.51	$20.51	$20.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $121.09 / $157.25 / $8,639.91	Facility		$121.09	$157.25	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $26.67 / $26.67	Professional		$26.67	$26.67	$26.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.89 / $45.52 / $99.99	Facility		$22.89	$45.52	$99.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $38.64 / $51.17	Professional		$16.05	$38.64	$51.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $20.17 / $46.29	Professional		$15.73	$20.17	$46.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $27.69 / $92.97 / $142.99	Facility		$27.69	$92.97	$142.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $28.60 / $141.21	Professional		$23.01	$28.60	$141.21
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $53.07 / $113.01	Facility		$23.89	$53.07	$113.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $38.64 / $49.04	Professional		$15.07	$38.64	$49.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $34.19 / $38.57	Facility		$34.19	$34.19	$38.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $34.19 / $38.57	Professional		$30.09	$34.19	$38.57
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $21.20 / $62.57	Professional		$14.73	$21.20	$62.57