Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $233.58 / $303.45	Facility		$99.97	$233.58	$303.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $100.97 / $256.33	Professional		$99.97	$100.97	$256.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $92.18 / $108.45 / $8,639.91	Facility		$92.18	$108.45	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $103.74 / $108.46	Professional		$103.74	$103.74	$108.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $99.97 / $99.97	Facility		$94.31	$99.97	$99.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $100.82 / $198.64 / $303.45	Facility		$100.82	$198.64	$303.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $100.97 / $303.45	Professional		$99.97	$100.97	$303.45
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $99.97 / $99.97	Facility		$94.31	$99.97	$99.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $100.75 / $100.75 / $116.90	Facility		$100.75	$100.75	$116.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $100.75 / $116.90	Professional		$100.75	$100.75	$116.90
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $172.30	Professional		$99.97	$99.97	$172.30