Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $42.80 / $65.80	Facility		$12.75	$42.80	$65.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $14.03 / $14.28	Professional		$12.18	$14.03	$14.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $79.37 / $103.07 / $8,639.91	Facility		$79.37	$103.07	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $12.28	Professional		$12.28	$12.28	$12.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $20.96 / $52.16	Facility		$10.34	$20.96	$52.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $18.17 / $27.50	Professional		$9.94	$18.17	$27.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.28 / $21.31	Professional		$7.24	$9.28	$21.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $42.80 / $65.80	Facility		$13.38	$42.80	$65.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $14.09 / $65.01	Professional		$11.33	$14.09	$65.01
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $23.91 / $52.16	Facility		$10.54	$23.91	$52.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $18.17 / $27.50	Professional		$9.94	$18.17	$27.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $15.74 / $15.74	Facility		$15.74	$15.74	$15.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $15.74 / $22.40	Professional		$13.85	$15.74	$22.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.49 / $31.68	Professional		$7.08	$11.49	$31.68