Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $496.92 / $645.57	Facility		$213.84	$496.92	$645.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $215.98 / $293.66	Professional		$213.84	$215.98	$293.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $197.20 / $232.00 / $8,639.91	Facility		$197.20	$232.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $221.91 / $221.91 / $221.91	Professional		$221.91	$221.91	$221.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $213.84 / $213.84	Facility		$201.74	$213.84	$213.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $214.49 / $496.92 / $645.57	Facility		$214.49	$496.92	$645.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $222.47 / $645.57	Professional		$213.84	$222.47	$645.57
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $213.84 / $213.84	Facility		$201.74	$213.84	$213.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $206.15 / $206.15 / $239.21	Facility		$206.15	$206.15	$239.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $206.15 / $206.15 / $239.21	Professional		$206.15	$206.15	$239.21
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $295.31	Professional		$213.84	$213.84	$295.31