Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $185.77 / $241.35	Facility		$79.26	$185.77	$241.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $80.05 / $166.68	Professional		$79.26	$80.05	$166.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $85.99 / $8,639.91	Facility		$73.09	$85.99	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $82.25 / $82.25	Professional		$82.25	$82.25	$82.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.77 / $79.26 / $79.26	Facility		$74.77	$79.26	$79.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $80.18 / $157.99 / $241.35	Facility		$80.18	$157.99	$241.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $80.18 / $241.35	Professional		$79.26	$80.18	$241.35
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $74.77 / $79.26 / $79.26	Facility		$74.77	$79.26	$79.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $69.61 / $69.61 / $80.78	Facility		$69.61	$69.61	$80.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $69.61 / $80.78	Professional		$69.61	$69.61	$80.78
United Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $109.46	Professional		$79.26	$79.26	$109.46