Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $122.72 / $197.63	Facility		$79.69	$122.72	$197.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.69 / $79.69 / $79.69	Professional		$79.69	$79.69	$79.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.14 / $77.81 / $8,639.91	Facility		$66.14	$77.81	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $77.81 / $77.81	Professional		$77.81	$77.81	$77.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Facility		$79.50	$79.50	$79.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $119.54 / $197.63	Facility		$79.69	$119.54	$197.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.69 / $79.69 / $158.58	Professional		$79.69	$79.69	$158.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Facility		$79.50	$79.50	$79.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $117.42 / $117.42 / $117.42	Facility		$117.42	$117.42	$117.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.42 / $117.42 / $117.42	Professional		$117.42	$117.42	$117.42
United Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $125.24	Professional		$90.69	$90.69	$125.24