Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $237.84 / $393.23	Facility		$158.56	$237.84	$393.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $121.66 / $143.13 / $8,639.91	Facility		$121.66	$143.13	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $143.13 / $143.13	Professional		$143.13	$143.13	$143.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.53 / $369.53 / $369.53	Facility		$369.53	$369.53	$369.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $237.84 / $393.23	Facility		$158.56	$237.84	$393.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $315.52	Professional		$158.56	$158.56	$315.52
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.23 / $42.23 / $42.23	Facility		$42.23	$42.23	$42.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $42.23 / $42.23	Professional		$42.23	$42.23	$42.23
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $214.68	Professional		$155.44	$155.44	$214.68