Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $184.21	Facility		$71.40	$71.40	$184.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $71.40 / $71.40	Professional		$67.20	$71.40	$71.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $11.97 / $8,459.92	Facility		$10.17	$11.97	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Professional		$11.97	$11.97	$11.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Facility		$71.40	$71.40	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.97 / $156.97 / $156.97	Facility		$156.97	$156.97	$156.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $102.10 / $290.20	Facility		$71.40	$102.10	$290.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $71.40 / $175.64	Professional		$68.88	$71.40	$175.64
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Facility		$71.40	$71.40	$71.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $79.80 / $79.80 / $87.78	Facility		$79.80	$79.80	$87.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $87.78	Professional		$79.80	$79.80	$87.78
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $104.14	Professional		$79.80	$79.80	$104.14