Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $66.65 / $102.49	Facility		$19.85	$66.65	$102.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $21.88 / $23.53	Professional		$19.85	$21.88	$23.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $102.72 / $133.38 / $8,639.91	Facility		$102.72	$133.38	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $19.12 / $19.12	Professional		$19.12	$19.12	$19.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $32.64 / $81.50	Facility		$16.11	$32.64	$81.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $28.08 / $42.74	Professional		$15.38	$28.08	$42.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $14.46 / $33.19	Professional		$11.27	$14.46	$33.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.70 / $69.06 / $99.49	Facility		$51.70	$69.06	$99.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $62.49 / $107.19	Facility		$19.85	$62.49	$107.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $21.94 / $101.23	Professional		$17.64	$21.94	$101.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $37.22 / $81.50	Facility		$16.41	$37.22	$81.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $28.08 / $42.74	Professional		$15.38	$28.08	$42.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $24.51 / $24.51	Facility		$24.51	$24.51	$24.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $24.51 / $28.99	Professional		$21.57	$24.51	$28.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $14.71 / $42.65	Professional		$10.50	$14.71	$42.65