Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $43.48 / $66.86	Facility		$12.95	$43.48	$66.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $12.95 / $66.04	Professional		$11.81	$12.95	$66.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $86.33 / $8,639.91	Facility		$66.48	$86.33	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $12.47 / $12.47	Professional		$12.47	$12.47	$12.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $20.78 / $53.24	Facility		$10.51	$20.78	$53.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $17.98 / $23.77	Professional		$8.23	$17.98	$23.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $9.43 / $21.65	Professional		$7.36	$9.43	$21.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $43.48 / $66.86	Facility		$13.59	$43.48	$66.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $13.11 / $66.04	Professional		$11.81	$13.11	$66.04
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $21.29 / $53.24	Facility		$10.70	$21.29	$53.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $17.98 / $23.27	Professional		$8.23	$17.98	$23.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $15.99 / $15.99	Facility		$15.99	$15.99	$15.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $15.99 / $18.78	Professional		$14.07	$15.99	$18.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $9.59 / $27.82	Professional		$6.72	$9.59	$27.82