Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $68.58 / $133.91	Facility		$54.00	$68.58	$133.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $105.80	Professional		$54.00	$54.00	$105.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $44.82 / $52.73 / $8,639.91	Facility		$44.82	$52.73	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $52.73 / $60.88	Professional		$52.73	$52.73	$60.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Facility		$54.00	$54.00	$54.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $68.58 / $133.91	Facility		$54.00	$68.58	$133.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $107.46	Professional		$54.00	$54.00	$107.46
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Facility		$54.00	$54.00	$54.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.53 / $41.53 / $48.20	Facility		$41.53	$41.53	$48.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $41.53 / $48.20	Professional		$41.53	$41.53	$48.20
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $59.29 / $73.11	Professional		$52.94	$59.29	$73.11