Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.69 / $109.77 / $142.61	Facility		$38.69	$109.77	$142.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $49.77 / $63.04	Professional		$47.38	$49.77	$63.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $45.44 / $53.46 / $8,639.91	Facility		$45.44	$53.46	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $51.14 / $51.14	Professional		$51.14	$51.14	$51.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $49.28 / $49.28	Facility		$46.49	$49.28	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.38 / $80.06 / $142.61	Facility		$47.38	$80.06	$142.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $49.77 / $142.61	Professional		$47.38	$49.77	$142.61
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $49.28 / $49.28	Facility		$46.49	$49.28	$49.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.70 / $29.70 / $34.46	Facility		$29.70	$29.70	$34.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $29.70 / $34.46	Professional		$29.70	$29.70	$34.46
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $68.06	Professional		$49.28	$49.28	$68.06