Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $67.16 / $85.29	Facility		$67.16	$67.16	$85.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $67.16 / $74.64	Professional		$67.15	$67.16	$74.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $63.80 / $75.06 / $8,639.91	Facility		$63.80	$75.06	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $75.06 / $75.06	Professional		$75.06	$75.06	$75.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Facility		$74.02	$74.02	$74.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Professional		$74.02	$74.02	$74.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $67.16 / $113.50	Facility		$67.16	$67.16	$113.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $67.16 / $77.23	Professional		$67.16	$67.16	$77.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Facility		$74.02	$74.02	$74.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Professional		$74.02	$74.02	$74.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $40.19 / $40.19 / $40.19	Facility		$40.19	$40.19	$40.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $40.19 / $40.19	Professional		$40.19	$40.19	$40.19
United Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $79.01 / $98.76	Professional		$66.09	$79.01	$98.76