Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $33.40 / $69.22	Facility		$29.59	$33.40	$69.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $71.68 / $100.57	Professional		$67.20	$71.68	$100.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $81.43 / $8,639.91	Facility		$69.22	$81.43	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $77.36 / $77.36	Professional		$77.36	$77.36	$77.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Facility		$76.14	$76.14	$76.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Professional		$76.14	$76.14	$76.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $69.22 / $116.98	Facility		$30.15	$69.22	$116.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $71.68 / $100.57	Professional		$67.20	$71.68	$100.57
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Facility		$76.14	$76.14	$76.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Professional		$76.14	$76.14	$76.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $73.11 / $83.18	Facility		$71.68	$73.11	$83.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $71.68 / $83.18	Professional		$71.68	$71.68	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $81.43 / $141.57	Professional		$77.36	$81.43	$141.57