Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $69.53 / $106.94	Facility		$20.71	$69.53	$106.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $20.20 / $24.55	Professional		$14.64	$20.20	$24.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $62.03 / $80.55 / $8,639.91	Facility		$62.03	$80.55	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $19.94 / $19.94	Professional		$19.94	$19.94	$19.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $33.24 / $84.76	Facility		$16.80	$33.24	$84.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $28.69 / $38.25	Professional		$12.27	$28.69	$38.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $15.09 / $34.61	Professional		$8.11	$15.09	$34.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $69.53 / $106.94	Facility		$21.73	$69.53	$106.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $20.71 / $105.60	Professional		$14.64	$20.71	$105.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $34.04 / $84.76	Facility		$17.12	$34.04	$84.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $28.69 / $36.65	Professional		$12.27	$28.69	$36.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $17.51 / $17.51	Professional		$17.51	$17.51	$17.51
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.85 / $38.36	Professional		$10.23	$15.85	$38.36