Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $30.52 / $68.95	Facility		$15.05	$30.52	$68.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $66.78 / $130.02	Professional		$49.50	$66.78	$130.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $65.68 / $77.27 / $8,639.91	Facility		$65.68	$77.27	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $73.40 / $73.40	Professional		$73.40	$73.40	$73.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Facility		$72.25	$72.25	$72.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $43.42 / $116.77	Facility		$15.05	$43.42	$116.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $69.94 / $157.53	Professional		$46.80	$69.94	$157.53
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Facility		$72.25	$72.25	$72.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $69.94 / $71.34 / $81.16	Facility		$69.94	$71.34	$81.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $69.94 / $81.16	Professional		$69.94	$69.94	$81.16
United Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $77.26 / $92.71	Professional		$73.40	$77.26	$92.71