Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $79.84 / $103.73	Facility		$34.47	$79.84	$103.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $43.41 / $102.00	Professional		$34.47	$43.41	$102.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $47.10 / $8,639.91	Facility		$40.04	$47.10	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $43.41 / $43.41	Facility		$40.95	$43.41	$43.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $43.41	Professional		$43.41	$43.41	$43.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $79.84 / $103.73	Facility		$34.47	$79.84	$103.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $43.85 / $103.73	Professional		$34.47	$43.85	$103.73
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $43.41 / $43.41	Facility		$40.95	$43.41	$43.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $43.41	Professional		$43.41	$43.41	$43.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.82 / $41.82 / $48.52	Facility		$41.82	$41.82	$48.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $41.82 / $48.52	Professional		$41.82	$41.82	$48.52
United Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $61.31	Professional		$43.41	$43.41	$61.31