Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $329.94 / $428.64	Facility		$141.60	$329.94	$428.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $143.02 / $296.69	Professional		$141.60	$143.02	$296.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $153.63 / $8,639.91	Facility		$130.59	$153.63	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $146.94 / $147.47	Professional		$146.94	$146.94	$147.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $141.60 / $141.60	Facility		$133.59	$141.60	$141.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $142.41 / $240.67 / $428.64	Facility		$142.41	$240.67	$428.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $147.32 / $428.64	Professional		$141.60	$147.32	$428.64
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $141.60 / $141.60	Facility		$133.59	$141.60	$141.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $119.56 / $119.56 / $138.72	Facility		$119.56	$119.56	$138.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $119.56 / $138.72	Professional		$119.56	$119.56	$138.72
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $195.55	Professional		$141.60	$141.60	$195.55