Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $84.03 / $109.17	Facility		$35.54	$84.03	$109.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.90 / $59.76	Professional		$35.54	$35.90	$59.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $32.78 / $38.57 / $8,639.91	Facility		$32.78	$38.57	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $36.89 / $36.89	Professional		$36.89	$36.89	$36.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $35.54 / $35.54	Facility		$33.54	$35.54	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.71 / $61.30 / $109.17	Facility		$35.71	$61.30	$109.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $36.27 / $109.17	Professional		$35.54	$36.27	$109.17
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $35.54 / $35.54	Facility		$33.54	$35.54	$35.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $29.15	Facility		$25.12	$25.12	$29.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $29.15	Professional		$25.12	$25.12	$29.15
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $50.21	Professional		$35.54	$35.54	$50.21