Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $131.25 / $170.51	Facility		$50.37	$131.25	$170.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.87 / $126.07	Professional		$50.37	$50.87	$126.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $46.44 / $54.64 / $8,639.91	Facility		$46.44	$54.64	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $52.27 / $52.27	Professional		$52.27	$52.27	$52.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $50.37 / $50.37	Facility		$47.51	$50.37	$50.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Professional		$50.37	$50.37	$50.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $56.65 / $95.74 / $170.51	Facility		$56.65	$95.74	$170.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $56.65 / $170.51	Professional		$50.37	$56.65	$170.51
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $50.37 / $50.37	Facility		$47.51	$50.37	$50.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Professional		$50.37	$50.37	$50.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $65.56	Facility		$56.50	$56.50	$65.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $65.56	Professional		$56.50	$56.50	$65.56
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $53.39 / $73.04	Professional		$50.37	$53.39	$73.04