Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $57.24 / $88.04	Facility		$17.05	$57.24	$88.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $17.05 / $86.94	Professional		$16.42	$17.05	$86.94
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $91.01 / $118.18 / $8,639.91	Facility		$91.01	$118.18	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $16.42 / $16.42	Professional		$16.42	$16.42	$16.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $27.36 / $69.54	Facility		$13.84	$27.36	$69.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $23.98 / $33.01	Professional		$11.96	$23.98	$33.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $12.42 / $28.50	Professional		$9.68	$12.42	$28.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $57.24 / $88.04	Facility		$17.89	$57.24	$88.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $17.52 / $86.94	Professional		$15.79	$17.52	$86.94
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $28.76 / $69.54	Facility		$14.09	$28.76	$69.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $23.98 / $33.01	Professional		$11.96	$23.98	$33.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Facility		$21.05	$21.05	$21.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $21.05 / $25.70	Professional		$18.52	$21.05	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $13.05 / $36.63	Professional		$8.84	$13.05	$36.63