Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $145.43 / $188.94	Facility		$61.80	$145.43	$188.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $62.41 / $305.77	Professional		$61.80	$62.41	$305.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $55.93 / $65.80 / $82.25	Facility		$55.93	$65.80	$82.25
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $62.94 / $62.94	Professional		$62.94	$62.94	$62.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $61.80 / $61.80	Facility		$55.28	$61.80	$61.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $62.77 / $154.13 / $188.94	Facility		$62.77	$154.13	$188.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $64.29 / $235.95	Professional		$61.80	$64.29	$235.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $61.80 / $61.80	Facility		$55.28	$61.80	$61.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $235.95 / $235.95 / $273.79	Facility		$235.95	$235.95	$273.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $235.95 / $235.95 / $273.79	Professional		$235.95	$235.95	$273.79
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $113.09	Professional		$61.80	$61.80	$113.09