Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.04 / $80.70 / $124.14	Facility		$24.04	$80.70	$124.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $24.04 / $28.49	Professional		$15.73	$24.04	$28.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $149.66 / $194.34 / $8,639.91	Facility		$149.66	$194.34	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $23.15 / $23.15	Professional		$23.15	$23.15	$23.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.51 / $39.52 / $98.88	Facility		$19.51	$39.52	$98.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $34.28 / $52.05	Professional		$18.64	$34.28	$52.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $17.51 / $40.19	Professional		$13.65	$17.51	$40.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $81.26 / $129.82	Facility		$25.23	$81.26	$129.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $25.23 / $122.58	Professional		$21.37	$25.23	$122.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.87 / $45.09 / $98.88	Facility		$19.87	$45.09	$98.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $34.28 / $52.05	Professional		$18.64	$34.28	$52.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $29.68 / $29.68	Facility		$29.68	$29.68	$29.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $29.68 / $42.25	Professional		$26.12	$29.68	$42.25
United Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $18.20 / $52.00	Professional		$12.47	$18.20	$52.00