Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $79.95 / $103.88	Facility		$34.18	$79.95	$103.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.52 / $64.03	Professional		$34.18	$34.52	$64.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $31.52 / $37.08 / $8,639.91	Facility		$31.52	$37.08	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $35.47 / $35.47	Professional		$35.47	$35.47	$35.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $34.18 / $34.18	Facility		$32.25	$34.18	$34.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $34.18	Professional		$34.18	$34.18	$34.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.51 / $58.32 / $103.88	Facility		$34.51	$58.32	$103.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.52 / $103.88	Professional		$34.18	$34.52	$103.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $34.18 / $34.18	Facility		$32.25	$34.18	$34.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $34.18	Professional		$34.18	$34.18	$34.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $33.69	Facility		$29.04	$29.04	$33.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $29.04 / $33.69	Professional		$29.04	$29.04	$33.69
United Facility/Professional Facility Modifier Low / Median / High Price $34.17 / $34.17 / $41.69	Facility		$34.17	$34.17	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $47.20	Professional		$34.18	$34.18	$47.20