Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $120.88 / $187.36	Facility		$75.55	$120.88	$187.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.82 / $0.96 / $8,639.91	Facility		$0.82	$0.96	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.96 / $0.96	Professional		$0.96	$0.96	$0.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Facility		$75.55	$75.55	$75.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $116.35 / $187.36	Facility		$75.55	$116.35	$187.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $150.35	Professional		$75.55	$75.55	$150.35
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Facility		$75.55	$75.55	$75.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $67.81 / $67.81 / $67.81	Facility		$67.81	$67.81	$67.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $67.81 / $67.81	Professional		$67.81	$67.81	$67.81
United Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $88.88 / $115.99	Professional		$88.88	$88.88	$115.99