Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $68.55 / $105.46	Facility		$20.42	$68.55	$105.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $21.19 / $21.43	Professional		$19.66	$21.19	$21.43
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 $19.66 / $19.66 / $19.66	Professional		$19.66	$19.66	$19.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $33.29 / $83.67	Facility		$16.57	$33.29	$83.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $28.91 / $41.47	Professional		$14.75	$28.91	$41.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $14.87 / $34.13	Professional		$11.60	$14.87	$34.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $68.55 / $105.46	Facility		$21.43	$68.55	$105.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $21.35 / $104.12	Professional		$18.22	$21.35	$104.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $35.77 / $83.67	Facility		$16.88	$35.77	$83.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $28.91 / $41.47	Professional		$14.75	$28.91	$41.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $25.21 / $25.21	Facility		$25.21	$25.21	$25.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $25.21 / $28.99	Professional		$22.18	$25.21	$28.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $15.13 / $46.13	Professional		$10.59	$15.13	$46.13