Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $194.89	Facility		$73.81	$73.81	$194.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $101.37	Professional		$73.81	$73.81	$101.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.05 / $77.70 / $8,639.91	Facility		$66.05	$77.70	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $73.81	Professional		$73.81	$73.81	$73.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Facility		$72.52	$72.52	$72.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Professional		$72.52	$72.52	$72.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $119.14 / $194.89	Facility		$73.81	$119.14	$194.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $76.80 / $101.37	Professional		$73.81	$76.80	$101.37
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Facility		$72.52	$72.52	$72.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Professional		$72.52	$72.52	$72.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $85.65	Facility		$73.81	$73.81	$85.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $85.65	Professional		$73.81	$73.81	$85.65
United Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $77.70 / $97.13	Professional		$73.81	$77.70	$97.13