Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.68 / $106.35 / $163.59	Facility		$31.68	$106.35	$163.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $30.51 / $33.24	Professional		$21.13	$30.51	$33.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $87.73 / $113.93 / $8,639.91	Facility		$87.73	$113.93	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $30.51 / $30.51	Professional		$30.51	$30.51	$30.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $50.84 / $129.31	Facility		$25.71	$50.84	$129.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $43.99 / $58.40	Professional		$16.00	$43.99	$58.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $23.07 / $52.95	Professional		$17.98	$23.07	$52.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.74 / $91.74 / $91.74	Facility		$91.74	$91.74	$91.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.24 / $106.35 / $161.52	Facility		$33.24	$106.35	$161.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $32.07 / $161.52	Professional		$22.81	$32.07	$161.52
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $51.87 / $129.31	Facility		$25.42	$51.87	$129.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $43.99 / $56.27	Professional		$16.00	$43.99	$56.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $39.11 / $39.11	Facility		$39.11	$39.11	$39.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $39.11 / $39.11	Professional		$24.77	$39.11	$39.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $23.47 / $58.67	Professional		$11.43	$23.47	$58.67