Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $14.37 / $55.61	Facility		$14.37	$14.37	$55.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $14.37 / $14.37	Professional		$8.68	$14.37	$14.37
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 $14.10 / $18.57 / $18.57	Professional		$14.10	$18.57	$18.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $14.21 / $14.21	Facility		$14.21	$14.21	$14.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $12.08 / $14.21	Professional		$12.08	$12.08	$14.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $17.36 / $32.97	Professional		$15.97	$17.36	$32.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $14.37 / $55.61	Facility		$14.37	$14.37	$55.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $14.37 / $14.37	Professional		$8.68	$14.37	$14.37
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $14.21 / $14.21	Facility		$14.21	$14.21	$14.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $12.08 / $21.75	Professional		$12.08	$12.08	$21.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $15.99 / $15.99	Facility		$15.99	$15.99	$15.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $15.99 / $15.99	Professional		$15.99	$15.99	$15.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $11.45 / $17.62	Professional		$10.31	$11.45	$17.62