Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.16 / $232.84 / $412.26	Facility		$156.16	$232.84	$412.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $162.97 / $365.83	Professional		$162.97	$162.97	$365.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $164.67 / $193.73 / $8,639.91	Facility		$164.67	$193.73	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $173.74 / $173.74 / $173.74	Professional		$173.74	$173.74	$173.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $203.81 / $203.81	Facility		$153.75	$203.81	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $156.16 / $198.32 / $412.26	Facility		$156.16	$198.32	$412.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $162.97 / $212.00	Professional		$156.16	$162.97	$212.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $203.81 / $203.81	Facility		$153.75	$203.81	$203.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $143.21 / $143.21 / $166.17	Facility		$143.21	$143.21	$166.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.21 / $143.21 / $166.17	Professional		$143.21	$143.21	$166.17
United Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $218.36 / $308.08	Professional		$162.97	$218.36	$308.08