Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Facility		$24.39	$24.39	$24.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $24.39 / $24.39	Professional		$22.95	$24.39	$24.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $24.24 / $8,639.91	Facility		$20.69	$24.24	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $24.24 / $24.24	Professional		$24.24	$24.24	$24.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Facility		$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Professional		$24.39	$24.39	$24.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $21.55 / $24.38	Professional		$17.55	$21.55	$24.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.39 / $41.22	Facility		$24.39	$24.39	$41.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $24.39 / $29.02	Professional		$22.95	$24.39	$29.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Facility		$24.39	$24.39	$24.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Professional		$24.39	$24.39	$24.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $10.11	Facility		$8.71	$8.71	$10.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $10.11	Professional		$8.71	$8.71	$10.11
United Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $28.69 / $37.44	Professional		$25.82	$28.69	$37.44