Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $299.08 / $463.59	Facility		$186.93	$299.08	$463.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $12.39 / $8,639.91	Facility		$10.53	$12.39	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $12.39 / $12.39	Professional		$12.39	$12.39	$12.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $287.87 / $463.59	Facility		$186.93	$287.87	$463.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $371.99	Professional		$186.93	$186.93	$371.99
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.21 / $2.21 / $2.21	Facility		$2.21	$2.21	$2.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $2.21	Professional		$2.21	$2.21	$2.21
United Facility/Professional Facility Modifier Low / Median / High Price $114.24 / $114.24 / $114.24	Facility		$114.24	$114.24	$114.24
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $253.08	Professional		$183.26	$183.26	$253.08