Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $59.22 / $91.11	Facility		$17.64	$59.22	$91.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $17.64 / $89.95	Professional		$3.85	$17.64	$89.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $101.41 / $8,639.91	Facility		$78.09	$101.41	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $28.30 / $63.29	Facility		$14.32	$28.30	$63.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $24.48 / $32.56	Professional		$10.34	$24.48	$32.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $12.85 / $29.49	Professional		$10.02	$12.85	$29.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $59.22 / $91.11	Facility		$17.64	$59.22	$91.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $17.86 / $89.95	Professional		$14.78	$17.86	$89.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $29.01 / $72.80	Facility		$14.58	$29.01	$72.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $24.48 / $30.98	Professional		$10.10	$24.48	$30.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $20.41 / $20.41	Facility		$20.41	$20.41	$20.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $20.41	Professional		$20.41	$20.41	$20.41
United Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $13.07 / $37.03	Professional		$9.15	$13.07	$37.03