Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $134.38 / $174.59	Facility		$56.10	$134.38	$174.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.66 / $69.48	Professional		$56.10	$56.66	$69.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $51.73 / $60.86 / $8,639.91	Facility		$51.73	$60.86	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $58.22 / $58.22	Professional		$58.22	$58.22	$58.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $56.10 / $56.10	Facility		$52.93	$56.10	$56.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $58.01 / $134.38 / $174.59	Facility		$58.01	$134.38	$174.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $58.01 / $174.59	Professional		$56.10	$58.01	$174.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $56.10 / $56.10	Facility		$52.93	$56.10	$56.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $49.95 / $57.96	Facility		$49.95	$49.95	$57.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $57.96	Professional		$49.95	$49.95	$57.96
United Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Facility		$56.10	$56.10	$56.10
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $77.47	Professional		$56.10	$56.10	$77.47