Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $54.48	Facility		$42.90	$42.90	$54.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $47.19	Professional		$42.90	$42.90	$47.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $49.66 / $8,639.91	Facility		$42.21	$49.66	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $49.66 / $49.66 / $49.66	Professional		$49.66	$49.66	$49.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Facility		$47.11	$47.11	$47.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Professional		$47.11	$47.11	$47.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $72.50	Facility		$42.90	$42.90	$72.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $51.48	Professional		$42.90	$42.90	$51.48
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Facility		$47.11	$47.11	$47.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Professional		$47.11	$47.11	$47.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $40.04 / $57.80	Facility		$40.04	$40.04	$57.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $40.04 / $57.80	Professional		$40.04	$40.04	$57.80
United Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $50.47 / $63.09	Professional		$50.47	$50.47	$63.09