Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.54 / $76.17 / $76.17	Facility		$72.54	$76.17	$76.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $72.54 / $94.20	Professional		$60.70	$72.54	$94.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $107.12 / $121.40	Professional		$12.14	$107.12	$121.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $114.91 / $177.90	Facility		$80.29	$114.91	$177.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $98.98 / $192.19	Professional		$11.49	$98.98	$192.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $76.17 / $76.17 / $76.17	Facility		$76.17	$76.17	$76.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $70.13 / $94.95	Professional		$60.70	$70.13	$94.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $114.91 / $177.90	Facility		$80.29	$114.91	$177.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $98.98 / $192.19	Professional		$10.52	$98.98	$192.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $131.69 / $131.69	Facility		$131.69	$131.69	$131.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $131.69 / $141.30	Professional		$129.19	$131.69	$141.30
United Facility/Professional Professional Modifier Low / Median / High Price $47.27 / $71.66 / $161.93	Professional		$47.27	$71.66	$161.93