Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $295.39 / $383.77	Facility		$127.45	$295.39	$383.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $128.72 / $355.46	Professional		$127.45	$128.72	$355.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $117.53 / $138.27 / $8,639.91	Facility		$117.53	$138.27	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $132.26 / $132.26 / $138.28	Professional		$132.26	$132.26	$138.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $127.45 / $127.45	Facility		$120.24	$127.45	$127.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $295.39 / $383.77	Facility		$127.50	$295.39	$383.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $128.72 / $383.77	Professional		$127.45	$128.72	$383.77
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $127.45 / $127.45	Facility		$120.24	$127.45	$127.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $137.43 / $137.43 / $159.47	Facility		$137.43	$137.43	$159.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $137.43 / $137.43 / $159.47	Professional		$137.43	$137.43	$159.47
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $183.21	Professional		$127.45	$127.45	$183.21