Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $45.79 / $70.41	Facility		$13.64	$45.79	$70.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $13.81 / $69.55	Professional		$13.14	$13.81	$69.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $84.90 / $110.25 / $8,639.91	Facility		$84.90	$110.25	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $13.14 / $13.14	Professional		$13.14	$13.14	$13.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $22.43 / $55.42	Facility		$11.07	$22.43	$55.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $19.41 / $29.62	Professional		$10.56	$19.41	$29.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $9.94 / $22.80	Professional		$7.75	$9.94	$22.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $45.79 / $70.41	Facility		$14.31	$45.79	$70.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $14.31 / $69.55	Professional		$12.12	$14.31	$69.55
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $25.58 / $55.42	Facility		$11.28	$25.58	$55.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $19.41 / $29.62	Professional		$10.56	$19.41	$29.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Facility		$16.84	$16.84	$16.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $16.84 / $23.96	Professional		$14.82	$16.84	$23.96
United Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $10.95 / $29.50	Professional		$7.07	$10.95	$29.50