Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.72 / $69.44 / $123.06	Facility		$46.72	$69.44	$123.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $49.62 / $85.62	Professional		$49.62	$49.62	$85.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $41.19 / $48.46 / $8,639.91	Facility		$41.19	$48.46	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $48.46 / $48.46	Professional		$48.46	$48.46	$48.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Facility		$49.62	$49.62	$49.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Professional		$49.62	$49.62	$49.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $73.44 / $123.06	Facility		$49.62	$73.44	$123.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $49.62 / $98.74	Professional		$49.62	$49.62	$98.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Facility		$49.62	$49.62	$49.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Professional		$49.62	$49.62	$49.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.26 / $41.26 / $47.87	Facility		$41.26	$41.26	$47.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $41.26 / $47.87	Professional		$41.26	$41.26	$47.87
United Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $67.19	Professional		$48.65	$48.65	$67.19