Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.44 / $95.47 / $146.86	Facility		$28.44	$95.47	$146.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $25.98 / $29.84	Professional		$15.05	$25.98	$29.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $64.04 / $83.16 / $8,639.91	Facility		$64.04	$83.16	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $27.39 / $27.39	Professional		$27.39	$27.39	$27.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.82 / $45.61 / $101.99	Facility		$22.82	$45.61	$101.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $33.68 / $50.59	Professional		$11.61	$33.68	$50.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $20.71 / $47.54	Professional		$16.14	$20.71	$47.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.58 / $95.58 / $95.58	Facility		$95.58	$95.58	$95.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.44 / $95.47 / $146.86	Facility		$28.44	$95.47	$146.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $27.74 / $145.00	Professional		$15.55	$27.74	$145.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.82 / $45.64 / $116.27	Facility		$22.82	$45.64	$116.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $33.68 / $50.59	Professional		$10.56	$33.68	$50.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $35.11 / $35.11	Facility		$21.48	$35.11	$35.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $35.11 / $35.11	Professional		$21.48	$35.11	$35.11
United Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $11.53 / $17.55	Facility		$11.53	$11.53	$17.55
United Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $21.07 / $52.67	Professional		$9.89	$21.07	$52.67