Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.82 / $96.88 / $125.86	Facility		$41.82	$96.88	$125.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $42.90 / $50.09	Professional		$41.82	$42.90	$50.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $46.08 / $8,639.91	Facility		$39.17	$46.08	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $44.08 / $44.08 / $44.08	Professional		$44.08	$44.08	$44.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $42.48 / $42.48	Facility		$40.07	$42.48	$42.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.82 / $96.88 / $125.86	Facility		$41.82	$96.88	$125.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $42.90 / $125.86	Professional		$41.82	$42.90	$125.86
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $42.48 / $42.48	Facility		$40.07	$42.48	$42.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $41.41 / $48.05	Facility		$41.41	$41.41	$48.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $41.41 / $48.05	Professional		$41.41	$41.41	$48.05
United Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $58.66	Professional		$42.48	$42.48	$58.66