Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $77.50 / $120.19	Facility		$23.09	$77.50	$120.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $20.60 / $24.23	Professional		$16.93	$20.60	$24.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $130.38 / $8,639.91	Facility		$100.40	$130.38	$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 $12.43 / $32.14 / $42.38	Professional		$12.43	$32.14	$42.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $20.35 / $38.59	Professional		$13.11	$20.35	$38.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.14 / $109.95 / $172.67	Facility		$92.14	$109.95	$172.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $78.04 / $127.23	Facility		$24.23	$78.04	$127.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $22.52 / $117.71	Professional		$17.82	$22.52	$117.71
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $37.96 / $94.53	Facility		$18.53	$37.96	$94.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $32.14 / $40.78	Professional		$12.43	$32.14	$40.78
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 / $28.50	Professional		$25.08	$28.50	$28.50
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $17.10 / $48.45	Professional		$11.97	$17.10	$48.45