Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $150.13 / $425.97	Facility		$38.79	$150.13	$425.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $77.73 / $209.10	Professional		$71.52	$77.73	$209.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $77.59 / $8,639.91	Facility		$65.95	$77.59	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $74.22 / $74.22 / $74.22	Professional		$74.22	$74.22	$74.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $71.52 / $71.52	Facility		$67.47	$71.52	$71.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.12 / $150.13 / $223.11	Facility		$74.12	$150.13	$223.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $88.80 / $223.11	Professional		$71.52	$88.80	$223.11
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $71.52 / $71.52	Facility		$67.47	$71.52	$71.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $78.68 / $91.30	Facility		$78.68	$78.68	$91.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $78.68 / $91.30	Professional		$78.68	$78.68	$91.30
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $130.88	Professional		$71.52	$71.52	$130.88