Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $159.11 / $228.15	Facility		$64.62	$159.11	$228.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $65.26 / $201.35	Professional		$64.62	$65.26	$201.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $59.59 / $70.09 / $8,639.91	Facility		$59.59	$70.09	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $67.06 / $67.06	Professional		$67.06	$67.06	$67.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $64.62 / $64.62	Facility		$60.96	$64.62	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $138.80 / $228.15	Facility		$75.80	$138.80	$228.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $75.80 / $228.15	Professional		$64.62	$75.80	$228.15
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $64.62 / $64.62	Facility		$60.96	$64.62	$64.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $83.57 / $83.57 / $96.97	Facility		$83.57	$83.57	$96.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.57 / $83.57 / $96.97	Professional		$83.57	$83.57	$96.97
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $111.37	Professional		$64.62	$64.62	$111.37