Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $179.39	Facility		$141.25	$141.25	$179.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $155.37	Professional		$141.25	$141.25	$155.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $146.63 / $8,639.91	Facility		$124.64	$146.63	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $146.63 / $146.63	Professional		$146.63	$146.63	$146.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Facility		$148.50	$148.50	$148.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $238.71	Facility		$141.25	$141.25	$238.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $169.50	Professional		$141.25	$141.25	$169.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Facility		$148.50	$148.50	$148.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $135.03 / $135.03 / $170.99	Facility		$135.03	$135.03	$170.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.03 / $135.03 / $170.99	Professional		$135.03	$135.03	$170.99
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $158.96 / $259.60	Professional		$158.96	$158.96	$259.60