Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $188.96 / $245.48	Facility		$80.91	$188.96	$245.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $81.72 / $97.71	Professional		$80.91	$81.72	$97.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $74.61 / $87.78 / $8,639.91	Facility		$74.61	$87.78	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $83.96 / $84.27	Professional		$83.96	$83.96	$84.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $80.91 / $80.91	Facility		$76.33	$80.91	$80.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $81.56 / $160.69 / $245.48	Facility		$81.56	$160.69	$245.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $81.72 / $245.48	Professional		$80.91	$81.72	$245.48
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $80.91 / $80.91	Facility		$76.33	$80.91	$80.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $72.51 / $72.51 / $84.13	Facility		$72.51	$72.51	$84.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $72.51 / $84.13	Professional		$72.51	$72.51	$84.13
United Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $114.27	Professional		$80.91	$80.91	$114.27