Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $157.25 / $204.29	Facility		$50.45	$157.25	$204.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $50.45 / $134.16	Professional		$49.95	$50.45	$134.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $46.06 / $54.19 / $8,639.91	Facility		$46.06	$54.19	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $51.84 / $51.84	Professional		$51.84	$51.84	$51.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $49.95 / $49.95	Facility		$47.12	$49.95	$49.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $67.88 / $133.72 / $204.29	Facility		$67.88	$133.72	$204.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $67.88 / $204.29	Professional		$49.95	$67.88	$204.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $49.95 / $49.95	Facility		$47.12	$49.95	$49.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $59.70 / $59.70 / $69.27	Facility		$59.70	$59.70	$69.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.70 / $59.70 / $69.27	Professional		$59.70	$59.70	$69.27
United Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $70.55	Professional		$49.95	$49.95	$70.55