Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $81.36 / $125.15	Facility		$24.24	$81.36	$125.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $23.64 / $26.80	Professional		$20.07	$23.64	$26.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $113.01 / $146.75 / $8,639.91	Facility		$113.01	$146.75	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $23.34 / $23.34	Professional		$23.34	$23.34	$23.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $38.90 / $98.88	Facility		$19.67	$38.90	$98.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $28.91 / $63.37	Professional		$22.51	$28.91	$63.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $23.94 / $40.51	Professional		$13.76	$23.94	$40.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $81.36 / $125.15	Facility		$25.43	$81.36	$125.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $24.24 / $123.57	Professional		$20.07	$24.24	$123.57
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $39.85 / $98.88	Facility		$20.03	$39.85	$98.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $34.28 / $57.41	Professional		$22.51	$34.28	$57.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $29.92 / $31.91	Facility		$29.92	$29.92	$31.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $29.92 / $31.91	Professional		$26.33	$29.92	$31.91
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $17.95 / $50.86	Professional		$12.57	$17.95	$50.86