Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.87 / $64.00 / $81.95	Facility		$15.87	$64.00	$81.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $16.05 / $80.91	Professional		$15.48	$16.05	$80.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $105.72 / $137.29 / $8,639.91	Facility		$105.72	$137.29	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $15.28 / $15.28	Professional		$15.28	$15.28	$15.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $26.08 / $65.20	Facility		$13.69	$26.08	$65.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $22.72 / $36.81	Professional		$13.20	$22.72	$36.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $11.56 / $26.52	Professional		$9.01	$11.56	$26.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $53.64 / $81.95	Facility		$16.64	$53.64	$81.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $16.64 / $80.91	Professional		$15.28	$16.64	$80.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $30.54 / $65.20	Facility		$13.69	$30.54	$65.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $22.72 / $36.81	Professional		$13.20	$22.72	$36.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $19.59 / $19.59	Facility		$19.59	$19.59	$19.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $19.59 / $29.85	Professional		$17.23	$19.59	$29.85
United Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $13.77 / $39.43	Professional		$8.82	$13.77	$39.43