Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $59.17 / $91.00	Facility		$17.63	$59.17	$91.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $17.63 / $32.64	Professional		$9.86	$17.63	$32.64
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 $16.97 / $16.97 / $16.97	Professional		$16.97	$16.97	$16.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $28.26 / $63.63	Facility		$14.14	$28.26	$63.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $21.16 / $31.84	Professional		$8.28	$21.16	$31.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $13.55 / $29.46	Professional		$10.01	$13.55	$29.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $59.17 / $91.00	Facility		$17.63	$59.17	$91.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $17.84 / $89.87	Professional		$11.10	$17.84	$89.87
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $28.28 / $71.72	Facility		$14.14	$28.28	$71.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $21.16 / $30.98	Professional		$7.46	$21.16	$30.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $14.31	Professional		$14.31	$14.31	$14.31
United Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $13.06 / $32.64	Professional		$9.14	$13.06	$32.64