Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $129.41 / $199.05	Facility		$38.54	$129.41	$199.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $38.54 / $65.20	Professional		$15.57	$38.54	$65.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $169.76 / $220.44 / $8,639.91	Facility		$169.76	$220.44	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $37.11 / $37.11	Professional		$37.11	$37.11	$37.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.28 / $63.37 / $157.56	Facility		$31.28	$63.37	$157.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $54.52 / $83.36	Professional		$29.82	$54.52	$83.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $28.08 / $64.44	Professional		$21.89	$28.08	$64.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $129.41 / $199.05	Facility		$38.54	$129.41	$199.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $39.02 / $196.55	Professional		$25.21	$39.02	$196.55
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $72.30 / $157.56	Facility		$31.86	$72.30	$157.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $54.52 / $83.36	Professional		$29.82	$54.52	$83.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.59 / $47.59 / $47.59	Facility		$47.59	$47.59	$47.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $47.59 / $47.92	Professional		$41.88	$47.59	$47.92
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $28.55 / $87.09	Professional		$19.98	$28.55	$87.09