Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $473.77 / $11,354.85	Facility		$164.59	$473.77	$11,354.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $169.81 / $445.69	Professional		$164.59	$169.81	$445.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $151.78 / $178.56 / $8,639.91	Facility		$151.78	$178.56	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $170.80 / $170.80 / $178.56	Professional		$170.80	$170.80	$178.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.27 / $164.59 / $164.59	Facility		$155.27	$164.59	$164.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $169.81 / $416.96 / $11,354.85	Facility		$169.81	$416.96	$11,354.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $180.06 / $511.12	Professional		$164.59	$180.06	$511.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $155.27 / $164.59 / $164.59	Facility		$155.27	$164.59	$164.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $168.25 / $168.25 / $195.23	Facility		$168.25	$168.25	$195.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $168.25 / $168.25 / $195.23	Professional		$168.25	$168.25	$195.23
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $232.46	Professional		$164.59	$164.59	$232.46