Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $390.92 / $507.86	Facility		$170.48	$390.92	$507.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $172.18 / $1,124.66	Professional		$170.48	$172.18	$1,124.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $157.21 / $184.95 / $8,639.91	Facility		$157.21	$184.95	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $176.91 / $176.91 / $176.91	Professional		$176.91	$176.91	$176.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.83 / $170.48 / $170.48	Facility		$160.83	$170.48	$170.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Professional		$170.48	$170.48	$170.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $168.73 / $390.92 / $507.86	Facility		$168.73	$390.92	$507.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $168.73 / $172.18 / $507.86	Professional		$168.73	$172.18	$507.86
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $160.83 / $170.48 / $170.48	Facility		$160.83	$170.48	$170.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Professional		$170.48	$170.48	$170.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.70 / $478.70 / $555.47	Facility		$478.70	$478.70	$555.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.70 / $478.70 / $555.47	Professional		$478.70	$478.70	$555.47
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $311.98	Professional		$170.48	$170.48	$311.98