Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $75.84 / $94.56	Facility		$74.45	$75.84	$94.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $75.84 / $75.84	Professional		$75.84	$75.84	$75.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $14.99 / $8,639.91	Facility		$12.74	$14.99	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $14.99 / $14.99	Professional		$14.24	$14.99	$14.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Facility		$83.29	$83.29	$83.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Professional		$83.29	$83.29	$83.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $74.45 / $125.84	Facility		$74.45	$74.45	$125.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $75.84 / $89.24	Professional		$74.45	$75.84	$89.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Facility		$83.29	$83.29	$83.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Professional		$83.29	$83.29	$83.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Facility		$50.89	$50.89	$50.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
United Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $92.96 / $117.94	Professional		$74.37	$92.96	$117.94