Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $40.79 / $62.73	Facility		$12.15	$40.79	$62.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $12.15 / $14.40	Professional		$9.86	$12.15	$14.40
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 $11.70 / $11.70 / $11.70	Professional		$11.70	$11.70	$11.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $19.50 / $49.98	Facility		$9.86	$19.50	$49.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $16.82 / $22.22	Professional		$7.46	$16.82	$22.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $8.85 / $20.30	Professional		$6.90	$8.85	$20.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $40.79 / $62.73	Facility		$12.75	$40.79	$62.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $12.15 / $61.95	Professional		$9.86	$12.15	$61.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.03 / $19.97 / $49.98	Facility		$10.03	$19.97	$49.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $16.82 / $21.17	Professional		$7.46	$16.82	$21.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $15.00 / $15.68	Professional		$13.20	$15.00	$15.68
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.30 / $26.10	Professional		$6.46	$9.30	$26.10