Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $92.71 / $120.45	Facility		$39.54	$92.71	$120.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $39.94 / $50.83	Professional		$33.64	$39.94	$50.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $42.90 / $8,639.91	Facility		$36.47	$42.90	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $41.04 / $41.04	Professional		$41.04	$41.04	$41.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $39.54 / $39.54	Facility		$37.29	$39.54	$39.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $40.02 / $92.71 / $120.45	Facility		$40.02	$92.71	$120.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $40.02 / $120.45	Professional		$39.54	$40.02	$120.45
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $39.54 / $39.54	Facility		$37.29	$39.54	$39.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $41.41 / $48.05	Facility		$41.41	$41.41	$48.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $41.41 / $48.05	Professional		$41.41	$41.41	$48.05
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $68.15	Professional		$39.54	$39.54	$68.15