Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $164.42 / $434.07	Facility		$164.42	$164.42	$434.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $368.79	Professional		$164.42	$164.42	$368.79
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $147.12 / $173.08 / $8,639.91	Facility		$147.12	$173.08	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $164.42	Professional		$164.42	$164.42	$164.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Facility		$219.62	$219.62	$219.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Professional		$219.62	$219.62	$219.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.56 / $267.56 / $267.56	Facility		$267.56	$267.56	$267.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $164.42 / $434.07	Facility		$164.42	$164.42	$434.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $235.16	Professional		$164.42	$164.42	$235.16
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Facility		$219.62	$219.62	$219.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Professional		$219.62	$219.62	$219.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $146.33 / $146.33 / $169.80	Facility		$146.33	$146.33	$169.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $146.33 / $146.33 / $169.80	Professional		$146.33	$146.33	$169.80
United Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $235.16 / $300.89	Professional		$164.42	$235.16	$300.89