Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $62.90 / $96.72	Facility		$18.73	$62.90	$96.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $18.97 / $95.53	Professional		$18.04	$18.97	$95.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $112.77 / $146.44 / $8,639.91	Facility		$112.77	$146.44	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $18.04 / $18.04	Professional		$18.04	$18.04	$18.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $30.79 / $77.15	Facility		$15.20	$30.79	$77.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $27.74 / $62.95	Professional		$19.43	$27.74	$62.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $18.50 / $31.32	Professional		$10.64	$18.50	$31.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $63.34 / $98.72	Facility		$19.66	$63.34	$98.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $19.66 / $95.53	Professional		$16.64	$19.66	$95.53
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $33.97 / $77.15	Facility		$15.48	$33.97	$77.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $27.74 / $49.54	Professional		$19.43	$27.74	$49.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $23.13 / $31.83	Facility		$23.13	$23.13	$31.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $23.13 / $31.83	Professional		$20.35	$23.13	$31.83
United Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $13.12 / $13.12	Facility		$13.12	$13.12	$13.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $14.70 / $40.25	Professional		$10.41	$14.70	$40.25