Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $69.95 / $136.60	Facility		$30.94	$69.95	$136.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $82.79	Professional		$55.08	$55.08	$82.79
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $31.28 / $36.79 / $8,639.91	Facility		$31.28	$36.79	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $36.79 / $36.79	Professional		$36.79	$36.79	$36.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Facility		$55.08	$55.08	$55.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $53.62 / $81.52 / $136.60	Facility		$53.62	$81.52	$136.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $55.08 / $109.61	Professional		$53.14	$55.08	$109.61
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Facility		$55.08	$55.08	$55.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $31.69 / $36.77	Facility		$31.69	$31.69	$36.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $31.69 / $36.77	Professional		$31.69	$31.69	$36.77
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $74.56	Professional		$54.00	$54.00	$74.56