Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $216.92 / $275.49	Facility		$216.92	$216.92	$275.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $216.92 / $238.61	Professional		$216.91	$216.92	$238.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $211.14 / $248.40 / $8,639.91	Facility		$211.14	$248.40	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $248.40 / $248.40 / $248.40	Professional		$248.40	$248.40	$248.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Facility		$238.19	$238.19	$238.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $216.92 / $366.60	Facility		$216.92	$216.92	$366.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $216.92 / $260.30	Professional		$216.91	$216.92	$260.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Facility		$238.19	$238.19	$238.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $179.00 / $179.00 / $227.58	Facility		$179.00	$179.00	$227.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $179.00 / $227.58	Professional		$179.00	$179.00	$227.58
United Facility/Professional Facility Modifier Low / Median / High Price $132.94 / $132.94 / $132.94	Facility		$132.94	$132.94	$132.94
United Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $255.20 / $306.24	Professional		$219.05	$255.20	$306.24