Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $538.80 / $699.99	Facility		$230.15	$538.80	$699.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $232.46 / $495.15	Professional		$230.15	$232.46	$495.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $212.25 / $249.70 / $8,639.91	Facility		$212.25	$249.70	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $238.84 / $238.84 / $249.69	Professional		$238.84	$238.84	$249.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.13 / $230.15 / $230.15	Facility		$217.13	$230.15	$230.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $232.56 / $458.22 / $699.99	Facility		$232.56	$458.22	$699.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $232.56 / $699.99	Professional		$230.15	$232.56	$699.99
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $217.13 / $230.15 / $230.15	Facility		$217.13	$230.15	$230.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $208.32 / $208.32 / $241.73	Facility		$208.32	$208.32	$241.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $208.32 / $208.32 / $241.73	Professional		$208.32	$208.32	$241.73
United Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $317.83	Professional		$230.15	$230.15	$317.83