Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $131.52 / $150.34	Professional		$83.06	$131.52	$150.34
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $190.64 / $250.40	Professional		$25.04	$190.64	$250.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $153.77	Facility		$153.77	$153.77	$153.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $153.77 / $360.94	Professional		$130.69	$153.77	$360.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $131.52 / $164.40	Professional		$83.06	$131.52	$164.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $153.77	Facility		$153.77	$153.77	$153.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $153.77 / $360.94	Professional		$18.59	$153.77	$360.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $238.30 / $238.30	Professional		$238.10	$238.30	$238.30
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.37 / $186.82	Professional		$75.86	$107.37	$186.82