Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.15 / $75.15 / $198.40	Facility		$75.15	$75.15	$198.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $133.49	Professional		$75.15	$75.15	$133.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $79.09 / $8,639.91	Facility		$67.23	$79.09	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $75.14 / $75.14	Professional		$75.14	$75.14	$75.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.15 / $75.15 / $198.40	Facility		$75.15	$75.15	$198.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $129.25	Professional		$75.15	$75.15	$129.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $73.84 / $73.84 / $85.69	Facility		$73.84	$73.84	$85.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $73.84 / $85.69	Professional		$73.84	$73.84	$85.69
United Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $86.51 / $132.13	Professional		$72.20	$86.51	$132.13