Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $16.45 / $25.31	Facility		$4.90	$16.45	$25.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.90 / $24.99	Professional		$4.50	$4.90	$24.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $25.35 / $32.92 / $8,639.91	Facility		$25.35	$32.92	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $4.72 / $4.72	Professional		$4.72	$4.72	$4.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $7.86 / $19.55	Facility		$3.97	$7.86	$19.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $6.89 / $8.89	Professional		$3.11	$6.89	$8.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.57 / $8.19	Professional		$2.78	$3.57	$8.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $16.45 / $25.31	Facility		$5.14	$16.45	$25.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.96 / $24.99	Professional		$4.50	$4.96	$24.99
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $8.05 / $19.55	Facility		$4.05	$8.05	$19.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $6.89 / $8.89	Professional		$3.11	$6.89	$8.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Facility		$6.05	$6.05	$6.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $6.05 / $7.16	Professional		$5.32	$6.05	$7.16
United Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $8.42	Facility		$4.21	$4.21	$8.42
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.75 / $11.07	Professional		$2.72	$3.75	$11.07