Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.99 / $174.55 / $268.45	Facility		$51.99	$174.55	$268.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $51.99 / $265.11	Professional		$26.57	$51.99	$265.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $140.91 / $183.00 / $8,639.91	Facility		$140.91	$183.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $50.07 / $50.07	Professional		$50.07	$50.07	$50.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $83.39 / $187.74	Facility		$41.72	$83.39	$187.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $61.69 / $91.89	Professional		$19.89	$61.69	$91.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $37.86 / $86.91	Professional		$29.53	$37.86	$86.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $51.99 / $174.55 / $268.45	Facility		$51.99	$174.55	$268.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $52.64 / $265.11	Professional		$40.44	$52.64	$265.11
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $85.47 / $212.97	Facility		$41.72	$85.47	$212.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $61.69 / $91.89	Professional		$18.64	$61.69	$91.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $37.94 / $64.19 / $64.19	Facility		$37.94	$64.19	$64.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $64.19 / $64.19	Professional		$37.94	$64.19	$64.19
United Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $77.03 / $77.03	Facility		$57.77	$77.03	$77.03
United Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $38.51 / $111.69	Professional		$18.36	$38.51	$111.69