Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $82.04 / $126.16	Facility		$24.44	$82.04	$126.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $24.74 / $124.60	Professional		$23.53	$24.74	$124.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $140.47 / $182.41 / $8,639.91	Facility		$140.47	$182.41	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $23.53 / $23.53	Professional		$23.53	$23.53	$23.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $34.69 / $43.37	Professional		$34.69	$34.69	$43.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $17.80 / $40.85	Professional		$13.88	$17.80	$40.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $82.04 / $126.16	Facility		$25.64	$82.04	$126.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $25.64 / $124.60	Professional		$22.63	$25.64	$124.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $34.69 / $43.37	Professional		$34.69	$34.69	$43.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Facility		$30.17	$30.17	$30.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $30.17 / $39.64	Professional		$26.55	$30.17	$39.64
United Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $22.75 / $52.50	Professional		$13.58	$22.75	$52.50