Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $107.74 / $177.86	Facility		$63.75	$107.74	$177.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $184.94 / $217.58 / $8,639.91	Facility		$184.94	$217.58	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $217.58 / $217.58 / $217.58	Professional		$217.58	$217.58	$217.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $98.18 / $177.86	Facility		$63.75	$98.18	$177.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $126.86	Professional		$63.75	$63.75	$126.86
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.52 / $39.52 / $39.52	Facility		$39.52	$39.52	$39.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $39.52 / $39.52	Professional		$39.52	$39.52	$39.52
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $107.72	Professional		$62.50	$62.50	$107.72