Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $21.87 / $21.87	Facility		$20.83	$21.87	$21.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $20.83 / $26.04	Professional		$14.78	$20.83	$26.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $30.27 / $38.53	Professional		$3.85	$30.27	$38.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $44.93	Facility		$27.30	$27.30	$44.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $23.21 / $55.78	Professional		$23.21	$23.21	$55.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $35.45 / $38.53	Professional		$35.45	$35.45	$38.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.87 / $21.87 / $21.87	Facility		$21.87	$21.87	$21.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $20.83 / $112.78	Professional		$14.78	$20.83	$112.78
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $44.93	Facility		$27.30	$27.30	$44.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $29.21 / $55.78	Professional		$23.21	$29.21	$55.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $37.84 / $37.84	Facility		$31.86	$37.84	$37.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $37.84 / $38.19	Professional		$31.86	$37.84	$38.19
United Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $21.31 / $39.88	Professional		$16.14	$21.31	$39.88