Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $95.96 / $154.33	Facility		$28.58	$95.96	$154.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $28.58 / $33.88	Professional		$9.86	$28.58	$33.88
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 $27.53 / $27.53 / $27.53	Professional		$27.53	$27.53	$27.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $45.85 / $102.53	Facility		$22.94	$45.85	$102.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $31.84 / $50.59	Professional		$7.46	$31.84	$50.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $20.82 / $47.78	Professional		$13.55	$20.82	$47.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $95.96 / $147.60	Facility		$28.58	$95.96	$147.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $28.58 / $145.75	Professional		$12.22	$28.58	$145.75
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $45.88 / $117.35	Facility		$18.22	$45.88	$117.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $33.99 / $50.59	Professional		$7.46	$33.99	$50.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $35.29 / $35.29	Facility		$35.29	$35.29	$35.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $35.29 / $35.29	Professional		$15.68	$35.29	$35.29
United Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $10.06 / $20.11	Facility		$10.06	$10.06	$20.11
United Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $21.17 / $52.94	Professional		$9.23	$21.17	$52.94