Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $59.55 / $91.59	Facility		$17.73	$59.55	$91.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $17.73 / $90.45	Professional		$15.79	$17.73	$90.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $88.97 / $115.54 / $8,639.91	Facility		$88.97	$115.54	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $17.07 / $17.07	Professional		$17.07	$17.07	$17.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $28.48 / $72.80	Facility		$14.39	$28.48	$72.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $24.87 / $32.56	Professional		$11.03	$24.87	$32.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $12.92 / $29.65	Professional		$10.07	$12.92	$29.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $59.55 / $91.59	Facility		$18.62	$59.55	$91.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $17.96 / $90.45	Professional		$15.77	$17.96	$90.45
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $29.17 / $72.80	Facility		$14.67	$29.17	$72.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $24.87 / $31.49	Professional		$11.03	$24.87	$31.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $21.90 / $21.90	Facility		$21.90	$21.90	$21.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $21.90 / $25.11	Professional		$19.27	$21.90	$25.11
United Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $13.14 / $32.85	Professional		$9.19	$13.14	$32.85