Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.57 / $378.99 / $492.36	Facility		$163.57	$378.99	$492.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $167.49 / $293.27	Professional		$165.83	$167.49	$293.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $179.91 / $8,639.91	Facility		$152.91	$179.91	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $172.09 / $172.09 / $172.09	Professional		$172.09	$172.09	$172.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $165.83 / $165.83	Facility		$156.44	$165.83	$165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $163.57 / $322.30 / $492.36	Facility		$163.57	$322.30	$492.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $163.57 / $167.49 / $492.36	Professional		$163.57	$167.49	$492.36
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $165.83 / $165.83	Facility		$156.44	$165.83	$165.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $133.11 / $133.11 / $154.46	Facility		$133.11	$133.11	$154.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $133.11 / $154.46	Professional		$133.11	$133.11	$154.46
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $234.21	Professional		$165.83	$165.83	$234.21