Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $153.81 / $199.82	Facility		$65.63	$153.81	$199.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $66.28 / $147.24	Professional		$65.63	$66.28	$147.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $60.52 / $71.20 / $8,639.91	Facility		$60.52	$71.20	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $68.09 / $71.20	Professional		$68.09	$68.09	$71.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.91 / $65.63 / $65.63	Facility		$61.91	$65.63	$65.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $112.18 / $199.82	Facility		$66.38	$112.18	$199.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $66.38 / $199.82	Professional		$65.63	$66.38	$199.82
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $61.91 / $65.63 / $65.63	Facility		$61.91	$65.63	$65.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $60.71 / $60.71 / $70.44	Facility		$60.71	$60.71	$70.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $60.71 / $70.44	Professional		$60.71	$60.71	$70.44
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $90.64	Professional		$65.63	$65.63	$90.64