Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.92 / $140.75 / $371.58	Facility		$106.92	$140.75	$371.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $279.14	Professional		$140.75	$140.75	$279.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $125.94 / $148.16 / $8,639.91	Facility		$125.94	$148.16	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $140.75	Professional		$140.75	$140.75	$140.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Facility		$161.82	$161.82	$161.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Professional		$161.82	$161.82	$161.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $106.92 / $140.75 / $371.58	Facility		$106.92	$140.75	$371.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $279.14	Professional		$140.75	$140.75	$279.14
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Facility		$161.82	$161.82	$161.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Professional		$161.82	$161.82	$161.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $57.07 / $140.75 / $163.33	Facility		$57.07	$140.75	$163.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $140.75 / $163.33	Professional		$57.07	$140.75	$163.33
United Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $173.08 / $207.70	Professional		$144.47	$173.08	$207.70