Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $128.82	Facility		$75.86	$75.86	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.49 / $5,011.87	Facility		$13.18	$15.49	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $128.82	Facility		$75.86	$75.86	$128.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $93.33	Professional		$75.86	$75.86	$93.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $51.29 / $54.95	Facility		$21.88	$51.29	$54.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $51.29 / $54.95	Professional		$21.88	$51.29	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $117.49	Professional		$74.13	$93.33	$117.49