Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $109.23 / $167.98	Facility		$32.54	$109.23	$167.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $32.54 / $165.90	Professional		$9.27	$32.54	$165.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $52.26 / $67.86 / $8,639.91	Facility		$52.26	$67.86	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $31.33 / $31.33	Professional		$31.33	$31.33	$31.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $52.19 / $116.70	Facility		$26.11	$52.19	$116.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $27.30 / $57.82	Professional		$6.52	$27.30	$57.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $23.70 / $54.39	Professional		$11.70	$23.70	$54.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $101.39 / $165.90	Facility		$29.54	$101.39	$165.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $32.94 / $165.90	Professional		$25.31	$32.94	$165.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $52.22 / $133.65	Facility		$15.74	$52.22	$133.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $38.71 / $57.82	Professional		$6.52	$38.71	$57.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $40.17 / $40.17	Facility		$40.17	$40.17	$40.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $40.17 / $40.17	Professional		$14.76	$40.17	$40.17
United Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $16.07 / $20.09	Facility		$7.11	$16.07	$20.09
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $20.09 / $68.29	Professional		$7.72	$20.09	$68.29