Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $328.61 / $426.91	Facility		$140.99	$328.61	$426.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $142.40 / $169.92	Professional		$140.99	$142.40	$169.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $130.02 / $152.96 / $8,639.91	Facility		$130.02	$152.96	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $146.31 / $146.31 / $146.84	Professional		$146.31	$146.31	$146.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.01 / $140.99 / $140.99	Facility		$133.01	$140.99	$140.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $141.83 / $328.61 / $426.91	Facility		$141.83	$328.61	$426.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $142.40 / $426.91	Professional		$140.99	$142.40	$426.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $133.01 / $140.99 / $140.99	Facility		$133.01	$140.99	$140.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $132.76 / $132.76 / $154.06	Facility		$132.76	$132.76	$154.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $132.76 / $154.06	Professional		$132.76	$132.76	$154.06
United Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $150.86 / $199.22	Professional		$140.99	$150.86	$199.22