Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.22 / $174.44 / $266.31	Facility		$103.22	$174.44	$266.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.22 / $103.22 / $103.22	Professional		$103.22	$103.22	$103.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $29.63 / $34.86 / $8,639.91	Facility		$29.63	$34.86	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $30.61 / $30.61	Professional		$30.61	$30.61	$30.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $103.22 / $154.83 / $266.31	Facility		$103.22	$154.83	$266.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $103.22 / $266.31	Professional		$99.57	$103.22	$266.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $25.44 / $25.44	Facility		$25.44	$25.44	$25.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $25.44 / $25.44	Professional		$25.44	$25.44	$25.44
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $139.74	Professional		$101.19	$101.19	$139.74