Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $93.20 / $8,109.00	Facility		$39.83	$93.20	$8,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $40.22 / $103.88	Professional		$39.83	$40.22	$103.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $43.21 / $8,639.91	Facility		$36.72	$43.21	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $41.33 / $41.33	Professional		$41.33	$41.33	$41.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.57 / $39.83 / $39.83	Facility		$37.57	$39.83	$39.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $79.26 / $8,109.00	Facility		$40.22	$79.26	$8,109.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $41.82 / $121.08	Professional		$39.83	$41.82	$121.08
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.57 / $39.83 / $39.83	Facility		$37.57	$39.83	$39.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $39.90 / $46.29	Facility		$39.90	$39.90	$46.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $46.29	Professional		$39.90	$39.90	$46.29
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $56.25	Professional		$39.83	$39.83	$56.25