Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $85.97 / $111.69	Facility		$36.77	$85.97	$111.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $37.13 / $76.27	Professional		$36.77	$37.13	$76.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $39.89 / $8,639.91	Facility		$33.90	$39.89	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $38.15 / $39.89	Professional		$38.15	$38.15	$39.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $36.77 / $36.77	Facility		$34.68	$36.77	$36.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $36.77	Professional		$36.77	$36.77	$36.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $62.70 / $111.69	Facility		$37.10	$62.70	$111.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $37.13 / $111.69	Professional		$36.77	$37.13	$111.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $36.77 / $36.77	Facility		$34.68	$36.77	$36.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $36.77	Professional		$36.77	$36.77	$36.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $31.70 / $31.70 / $36.79	Facility		$31.70	$31.70	$36.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $31.70 / $36.79	Professional		$31.70	$31.70	$36.79
United Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $50.78	Professional		$36.77	$36.77	$50.78