Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $67.58 / $300.16	Facility		$28.88	$67.58	$300.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $78.52	Professional		$28.88	$28.88	$78.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $28.20 / $8,639.91	Facility		$23.97	$28.20	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $28.20 / $28.20	Professional		$28.20	$28.20	$28.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Facility		$28.88	$28.88	$28.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Professional		$28.88	$28.88	$28.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.38 / $549.32 / $791.82	Facility		$448.38	$549.32	$791.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $46.21 / $300.16	Facility		$28.88	$46.21	$300.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $74.51	Professional		$28.88	$28.88	$74.51
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Facility		$28.88	$28.88	$28.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Professional		$28.88	$28.88	$28.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $34.81	Facility		$30.00	$30.00	$34.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $34.81	Professional		$30.00	$30.00	$34.81
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $39.11	Professional		$28.32	$28.32	$39.11