Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $129.07 / $167.69	Facility		$55.16	$129.07	$167.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.71 / $74.09	Professional		$55.16	$55.71	$74.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $50.87 / $59.85 / $8,459.92	Facility		$50.87	$59.85	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $57.24 / $57.24	Professional		$57.24	$57.24	$57.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $55.16 / $55.16	Facility		$52.04	$55.16	$55.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $55.16 / $68.25	Professional		$54.60	$55.16	$68.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $52.04 / $64.20	Professional		$36.58	$52.04	$64.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.71 / $94.15 / $167.69	Facility		$55.71	$94.15	$167.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.88 / $167.69	Professional		$55.16	$55.88	$167.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $55.16 / $55.16	Facility		$52.04	$55.16	$55.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $55.16 / $68.25	Professional		$54.58	$55.16	$68.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $58.16	Facility		$50.12	$50.12	$58.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $58.16	Professional		$50.12	$50.12	$58.16
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $66.19	Professional		$22.06	$55.16	$66.19