Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $125.50 / $372.73	Facility		$125.50	$125.50	$372.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $150.00	Professional		$125.50	$125.50	$150.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $118.10 / $138.94 / $8,639.91	Facility		$118.10	$138.94	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $138.94 / $138.94	Professional		$138.94	$138.94	$138.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Facility		$137.94	$137.94	$137.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Professional		$137.94	$137.94	$137.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.36 / $107.36 / $113.90	Facility		$107.36	$107.36	$113.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $124.40 / $125.50 / $372.73	Facility		$124.40	$125.50	$372.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $184.00	Professional		$125.50	$125.50	$184.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Facility		$137.94	$137.94	$137.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Professional		$137.94	$137.94	$137.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $106.49 / $106.49 / $123.57	Facility		$106.49	$106.49	$123.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $106.49 / $123.57	Professional		$106.49	$106.49	$123.57
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $147.65 / $184.56	Professional		$147.65	$147.65	$184.56