Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $66.78 / $107.41	Facility		$19.89	$66.78	$107.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $19.89 / $101.43	Professional		$9.86	$19.89	$101.43
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 $19.16 / $19.16 / $19.16	Professional		$19.16	$19.16	$19.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $31.90 / $71.33	Facility		$15.96	$31.90	$71.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $23.61 / $35.11	Professional		$7.46	$23.61	$35.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $14.49 / $33.25	Professional		$11.30	$14.49	$33.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $66.78 / $102.70	Facility		$20.88	$66.78	$102.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $20.14 / $101.43	Professional		$15.47	$20.14	$101.43
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $31.92 / $81.50	Facility		$15.96	$31.92	$81.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $23.61 / $35.11	Professional		$7.46	$23.61	$35.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $24.56 / $24.56	Facility		$24.56	$24.56	$24.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $24.56 / $24.56	Professional		$15.68	$24.56	$24.56
United Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $14.74 / $36.84	Professional		$9.23	$14.74	$36.84