Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $19.85 / $30.55	Facility		$5.91	$19.85	$30.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $5.99 / $30.15	Professional		$5.69	$5.99	$30.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $36.82 / $47.81 / $8,639.91	Facility		$36.82	$47.81	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $5.69 / $5.69	Professional		$5.69	$5.69	$5.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $9.73 / $23.91	Facility		$4.80	$9.73	$23.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $8.66 / $12.69	Professional		$4.50	$8.66	$12.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $4.30 / $9.88	Professional		$3.36	$4.30	$9.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.21 / $19.85 / $30.55	Facility		$6.21	$19.85	$30.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $6.21 / $30.15	Professional		$5.65	$6.21	$30.15
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $11.09 / $23.91	Facility		$4.88	$11.09	$23.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $8.66 / $12.69	Professional		$4.50	$8.66	$12.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7.30 / $7.30 / $7.30	Facility		$7.30	$7.30	$7.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $7.30 / $10.39	Professional		$6.42	$7.30	$10.39
United Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $6.12 / $12.24	Facility		$6.12	$6.12	$12.24
United Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $4.67 / $13.87	Professional		$3.29	$4.67	$13.87