Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $42.42 / $65.22	Facility		$12.64	$42.42	$65.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $12.17 / $13.26	Professional		$9.86	$12.17	$13.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $72.12 / $8,639.91	Facility		$55.54	$72.12	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $12.17 / $12.17	Professional		$12.17	$12.17	$12.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $20.28 / $52.16	Facility		$10.26	$20.28	$52.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $17.60 / $23.26	Professional		$7.46	$17.60	$23.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $12.48 / $21.12	Professional		$7.18	$12.48	$21.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $42.42 / $65.22	Facility		$13.26	$42.42	$65.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $12.64 / $64.43	Professional		$9.86	$12.64	$64.43
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $20.77 / $52.16	Facility		$10.44	$20.77	$52.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $17.60 / $22.20	Professional		$7.46	$17.60	$22.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $15.60	Facility		$15.60	$15.60	$15.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $15.60 / $15.68	Professional		$13.73	$15.60	$15.68
United Facility/Professional Facility Modifier Low / Median / High Price $7.04 / $7.04 / $7.04	Facility		$7.04	$7.04	$7.04
United Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $9.36 / $27.14	Professional		$6.55	$9.36	$27.14