Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $70.88 / $103.25	Facility		$21.25	$70.88	$103.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $20.50 / $86.75	Professional		$8.86	$20.50	$86.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $64.81 / $8,639.91	Facility		$49.91	$64.81	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $32.35 / $73.13	Facility		$16.25	$32.35	$73.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $25.88	Professional		$13.15	$13.15	$25.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $14.75 / $33.85	Professional		$11.50	$14.75	$33.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $86.27 / $103.25	Facility		$24.62	$86.27	$103.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $21.25 / $103.25	Professional		$8.86	$21.25	$103.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $31.97 / $82.58	Facility		$15.03	$31.97	$82.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $25.88	Professional		$13.15	$13.15	$25.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $25.00 / $25.00	Facility		$12.86	$25.00	$25.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $25.00 / $25.00	Professional		$12.86	$25.00	$25.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.00 / $37.50	Professional		$10.00	$15.00	$37.50