Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $70.03 / $152.06	Facility		$29.30	$70.03	$152.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $23.62 / $29.31	Professional		$16.41	$23.62	$29.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $14.44 / $14.44	Professional		$14.44	$14.44	$14.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $32.25 / $98.88	Facility		$1.09	$32.25	$98.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $26.85 / $37.04	Professional		$9.94	$26.85	$37.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $12.67 / $29.08	Professional		$9.88	$12.67	$29.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $72.40 / $152.06	Facility		$29.30	$72.40	$152.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $23.62 / $46.02	Professional		$16.41	$23.62	$46.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $32.25 / $98.88	Facility		$1.09	$32.25	$98.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $26.85 / $35.79	Professional		$9.94	$26.85	$35.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $14.18 / $14.18	Facility		$14.18	$14.18	$14.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $14.18 / $14.61	Professional		$14.18	$14.18	$14.61
United Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $18.46 / $38.46	Professional		$8.41	$18.46	$38.46