Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $41.58 / $63.95	Facility		$12.38	$41.58	$63.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $13.48 / $19.80	Professional		$11.93	$13.48	$19.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $73.15 / $95.00 / $8,639.91	Facility		$73.15	$95.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $11.93 / $11.93	Professional		$11.93	$11.93	$11.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $20.36 / $51.07	Facility		$10.05	$20.36	$51.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $17.35 / $26.23	Professional		$9.47	$17.35	$26.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $12.23 / $20.70	Professional		$7.03	$12.23	$20.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $41.58 / $63.95	Facility		$12.38	$41.58	$63.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $16.53 / $63.15	Professional		$11.47	$16.53	$63.15
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.24 / $22.87 / $51.07	Facility		$10.24	$22.87	$51.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $17.35 / $26.23	Professional		$9.47	$17.35	$26.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $15.29 / $15.29	Facility		$15.29	$15.29	$15.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $15.29 / $18.85	Professional		$13.46	$15.29	$18.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $13.01 / $25.99	Professional		$9.17	$13.01	$25.99