Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $124.08 / $189.42	Facility		$73.42	$124.08	$189.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $188.49	Professional		$73.42	$73.42	$188.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $122.12 / $143.66 / $8,639.91	Facility		$122.12	$143.66	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $143.66 / $143.66 / $143.66	Professional		$143.66	$143.66	$143.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Facility		$73.42	$73.42	$73.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.29 / $110.13 / $189.42	Facility		$57.29	$110.13	$189.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $73.42 / $188.49	Professional		$69.09	$73.42	$188.49
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Facility		$73.42	$73.42	$73.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $54.42 / $63.15	Facility		$54.42	$54.42	$63.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $54.42 / $63.15	Professional		$54.42	$54.42	$63.15
United Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $58.90 / $58.90	Facility		$58.90	$58.90	$58.90
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $131.72	Professional		$71.98	$71.98	$131.72