Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $274.23 / $356.26	Facility		$117.36	$274.23	$356.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $118.53 / $280.02	Professional		$117.36	$118.53	$280.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $108.22 / $127.32 / $8,639.91	Facility		$108.22	$127.32	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $121.79 / $127.33	Professional		$121.79	$121.79	$127.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $117.36 / $117.36	Facility		$110.72	$117.36	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $118.36 / $233.21 / $356.26	Facility		$118.36	$233.21	$356.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $118.53 / $356.26	Professional		$117.36	$118.53	$356.26
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $117.36 / $117.36	Facility		$110.72	$117.36	$117.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $109.82 / $109.82 / $127.43	Facility		$109.82	$109.82	$127.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.82 / $109.82 / $127.43	Professional		$109.82	$109.82	$127.43
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $162.07	Professional		$117.36	$117.36	$162.07