Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $119.61 / $138.18	Facility		$108.80	$119.61	$138.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $119.61 / $119.61	Professional		$39.70	$119.61	$119.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $119.63 / $140.74 / $8,639.91	Facility		$119.63	$140.74	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $133.69 / $133.69	Professional		$133.69	$133.69	$133.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Facility		$131.35	$131.35	$131.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Professional		$131.35	$131.35	$131.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $108.80 / $183.87	Facility		$108.80	$108.80	$183.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $119.61 / $140.72	Professional		$39.70	$119.61	$140.72
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Facility		$131.35	$131.35	$131.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Professional		$131.35	$131.35	$131.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $118.69 / $118.69 / $118.69	Facility		$118.69	$118.69	$118.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $118.69 / $118.69	Professional		$118.69	$118.69	$118.69
United Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $140.74 / $175.93	Professional		$117.28	$140.74	$175.93