Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $80.84 / $137.75	Facility		$25.00	$80.84	$137.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $22.31 / $29.63	Professional		$20.00	$22.31	$29.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $115.74 / $150.30 / $8,639.91	Facility		$115.74	$150.30	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $24.07 / $24.07	Professional		$24.07	$24.07	$24.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $40.11 / $102.14	Facility		$20.28	$40.11	$102.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $34.81 / $46.00	Professional		$14.50	$34.81	$46.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $18.21 / $41.78	Professional		$9.49	$18.21	$41.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.64 / $84.01 / $253.99	Facility		$49.64	$84.01	$253.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $22.00 / $22.00	Professional		$18.52	$22.00	$22.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.23 / $83.91 / $137.75	Facility		$26.23	$83.91	$137.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $24.38 / $127.45	Professional		$20.54	$24.38	$127.45
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $41.10 / $102.14	Facility		$20.66	$41.10	$102.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $34.81 / $44.40	Professional		$14.44	$34.81	$44.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $30.86 / $30.86	Facility		$30.86	$30.86	$30.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $30.86 / $30.86	Professional		$22.60	$30.86	$30.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $18.52 / $51.94	Professional		$12.96	$18.52	$51.94