Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $96.08 / $124.82	Facility		$41.47	$96.08	$124.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.52 / $107.05	Professional		$41.11	$41.52	$107.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $44.60 / $8,639.91	Facility		$37.90	$44.60	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $44.60	Professional		$42.66	$42.66	$44.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $41.11 / $41.11	Facility		$38.78	$41.11	$41.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $71.06 / $124.82	Facility		$41.47	$71.06	$124.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.52 / $124.82	Professional		$41.11	$41.52	$124.82
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $41.11 / $41.11	Facility		$38.78	$41.11	$41.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $48.73	Facility		$42.00	$42.00	$48.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $48.73	Professional		$42.00	$42.00	$48.73
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $56.77	Professional		$41.11	$41.11	$56.77