Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.71 / $109.69	Facility		$39.31	$39.71	$109.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.71	Professional		$39.31	$39.31	$39.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $33.56 / $39.31 / $8,639.91	Facility		$33.56	$39.31	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Professional		$39.31	$39.31	$39.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Facility		$39.31	$39.31	$39.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $44.51	Professional		$39.31	$39.31	$44.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $40.79 / $50.22	Professional		$38.94	$40.79	$50.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $41.97 / $109.69	Facility		$39.31	$41.97	$109.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $41.97	Professional		$39.31	$39.31	$41.97
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $39.31 / $39.31	Facility		$37.09	$39.31	$39.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $50.07	Professional		$39.31	$39.31	$50.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.11 / $81.11 / $94.12	Facility		$81.11	$81.11	$94.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.11 / $81.11 / $94.12	Professional		$81.11	$81.11	$94.12
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $67.75	Professional		$39.31	$39.31	$67.75