Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $211.50 / $325.32	Facility		$63.00	$211.50	$325.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $63.00 / $116.67	Professional		$33.77	$63.00	$116.67
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $190.24 / $247.04 / $8,639.91	Facility		$190.24	$247.04	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $60.67 / $60.67	Professional		$60.67	$60.67	$60.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $101.06 / $225.97	Facility		$50.56	$101.06	$225.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $74.91 / $111.51	Professional		$24.30	$74.91	$111.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $45.89 / $105.31	Professional		$16.14	$45.89	$105.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.69 / $312.58 / $328.22	Facility		$217.69	$312.58	$328.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $66.11 / $198.33 / $325.32	Facility		$66.11	$198.33	$325.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $63.78 / $321.23	Professional		$49.00	$63.78	$321.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $101.12 / $258.61	Facility		$50.56	$101.12	$258.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $74.91 / $111.51	Professional		$23.61	$74.91	$111.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $77.78 / $77.78	Facility		$77.78	$77.78	$77.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $77.78 / $77.78	Professional		$49.01	$77.78	$77.78
United Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $22.13 / $22.13	Facility		$22.13	$22.13	$22.13
United Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $46.67 / $116.67	Professional		$23.13	$46.67	$116.67