Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $114.30	Facility		$90.00	$90.00	$114.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $129.58 / $129.58	Professional		$124.87	$129.58	$129.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.56 / $151.56 / $151.56	Facility		$151.56	$151.56	$151.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $90.80 / $90.80	Professional		$90.80	$90.80	$90.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $114.30	Facility		$90.00	$90.00	$114.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $151.56 / $151.56 / $151.56	Facility		$151.56	$151.56	$151.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $90.80 / $90.80	Professional		$90.80	$90.80	$90.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $126.56 / $126.56 / $126.56	Facility		$126.56	$126.56	$126.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $126.56 / $126.56	Professional		$126.56	$126.56	$126.56