Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $33.84 / $67.04	Facility		$14.60	$33.84	$67.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $16.22 / $37.31	Professional		$15.18	$16.22	$37.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $17.59 / $8,459.92	Facility		$14.95	$17.59	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $16.82 / $16.82	Professional		$16.82	$16.82	$16.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $16.22 / $49.11	Facility		$15.30	$16.22	$49.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.95	Professional		$16.22	$16.22	$22.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $80.52 / $107.67	Professional		$14.08	$80.52	$107.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $33.84 / $43.96	Facility		$14.60	$33.84	$43.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $16.38 / $43.96	Professional		$14.60	$16.38	$43.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $16.22 / $49.11	Facility		$15.30	$16.22	$49.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $16.22 / $54.65	Professional		$15.08	$16.22	$54.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.18 / $29.18 / $33.86	Facility		$29.18	$29.18	$33.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $29.18 / $33.86	Professional		$29.18	$29.18	$33.86
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $16.22 / $30.04	Professional		$6.49	$16.22	$30.04