Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $483.49 / $628.13	Facility		$206.59	$483.49	$628.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $208.65 / $457.16	Professional		$206.59	$208.65	$457.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $190.51 / $224.13 / $8,639.91	Facility		$190.51	$224.13	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $214.38 / $214.38 / $224.14	Professional		$214.38	$214.38	$224.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.90 / $206.59 / $206.59	Facility		$194.90	$206.59	$206.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $208.68 / $352.67 / $628.13	Facility		$208.68	$352.67	$628.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $208.68 / $628.13	Professional		$206.59	$208.68	$628.13
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $194.90 / $206.59 / $206.59	Facility		$194.90	$206.59	$206.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $188.44 / $188.44 / $218.67	Facility		$188.44	$188.44	$218.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $188.44 / $188.44 / $218.67	Professional		$188.44	$188.44	$218.67
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $285.30	Professional		$206.59	$206.59	$285.30