Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $101.30 / $131.60	Facility		$43.62	$101.30	$131.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.62 / $113.66	Professional		$43.19	$43.62	$113.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $46.86 / $8,639.91	Facility		$39.83	$46.86	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $44.82 / $46.86	Professional		$44.82	$44.82	$46.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $43.19 / $43.19	Facility		$40.75	$43.19	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.72 / $86.15 / $131.60	Facility		$43.72	$86.15	$131.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.72 / $131.60	Professional		$43.19	$43.72	$131.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $43.19 / $43.19	Facility		$40.75	$43.19	$43.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.40 / $44.40 / $51.52	Facility		$44.40	$44.40	$51.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $44.40 / $51.52	Professional		$44.40	$44.40	$51.52
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $59.65	Professional		$43.19	$43.19	$59.65