Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $43.48 / $66.86	Facility		$12.95	$43.48	$66.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $13.11 / $66.04	Professional		$12.47	$13.11	$66.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $80.58 / $104.64 / $8,639.91	Facility		$80.58	$104.64	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $12.47 / $12.47	Professional		$12.47	$12.47	$12.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $21.29 / $53.24	Facility		$10.51	$21.29	$53.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $18.17 / $27.93	Professional		$10.10	$18.17	$27.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $9.43 / $21.65	Professional		$7.36	$9.43	$21.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $43.48 / $66.86	Facility		$13.59	$43.48	$66.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $13.59 / $66.04	Professional		$12.36	$13.59	$66.04
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $24.29 / $53.24	Facility		$10.70	$24.29	$53.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $18.17 / $27.93	Professional		$10.10	$18.17	$27.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $15.99 / $15.99	Facility		$15.99	$15.99	$15.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $15.99 / $22.74	Professional		$14.07	$15.99	$22.74
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $10.23 / $29.26	Professional		$6.72	$10.23	$29.26