Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $127.55 / $161.99	Facility		$99.68	$127.55	$161.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $143.65 / $423.57	Professional		$102.50	$143.65	$423.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $114.74 / $134.99 / $8,639.91	Facility		$114.74	$134.99	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $128.24 / $128.24 / $128.24	Professional		$128.24	$128.24	$128.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Facility		$134.47	$134.47	$134.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $127.55 / $215.56	Facility		$127.55	$127.55	$215.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $101.75 / $143.32 / $423.57	Professional		$101.75	$143.32	$423.57
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Facility		$134.47	$134.47	$134.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $112.89 / $112.89 / $112.89	Facility		$112.89	$112.89	$112.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.89 / $112.89 / $112.89	Professional		$112.89	$112.89	$112.89
United Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $134.99 / $161.99	Professional		$120.06	$134.99	$161.99