Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $245.58 / $319.05	Facility		$104.73	$245.58	$319.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $105.78 / $241.04	Professional		$104.73	$105.78	$241.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $113.62 / $8,639.91	Facility		$96.58	$113.62	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $108.68 / $108.68	Professional		$108.68	$108.68	$108.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $104.73 / $104.73	Facility		$98.80	$104.73	$104.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $179.14 / $319.05	Facility		$106.00	$179.14	$319.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $106.00 / $319.05	Professional		$104.73	$106.00	$319.05
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $104.73 / $104.73	Facility		$98.80	$104.73	$104.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $91.37 / $91.37 / $106.02	Facility		$91.37	$91.37	$106.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.37 / $91.37 / $106.02	Professional		$91.37	$91.37	$106.02
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $144.63	Professional		$104.73	$104.73	$144.63