Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.55 / $120.30 / $156.29	Facility		$56.55	$120.30	$156.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $79.70 / $132.63	Professional		$62.21	$79.70	$132.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $72.78 / $85.62 / $107.03	Facility		$72.78	$85.62	$107.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $81.89 / $81.89 / $81.89	Professional		$81.89	$81.89	$81.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $78.92 / $78.92	Facility		$74.45	$78.92	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $51.92 / $87.74 / $156.29	Facility		$51.92	$87.74	$156.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $79.70 / $156.29	Professional		$51.92	$79.70	$156.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $78.92 / $78.92	Facility		$74.45	$78.92	$78.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $88.75 / $88.75 / $102.98	Facility		$88.75	$88.75	$102.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $88.75 / $88.75 / $102.98	Professional		$88.75	$88.75	$102.98
United Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $83.66 / $114.43	Professional		$74.97	$83.66	$114.43