Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.88 / $1,592.83 / $4,328.53	Facility		$425.88	$1,592.83	$4,328.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.59 / $838.33 / $1,163.85	Professional		$774.59	$838.33	$1,163.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,373.05 / $1,424.86 / $1,424.86	Professional		$1,373.05	$1,424.86	$1,424.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.33 / $1,097.55 / $3,683.04	Facility		$41.33	$1,097.55	$3,683.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.38 / $1,277.38 / $1,693.30	Professional		$503.38	$1,277.38	$1,693.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $838.33 / $1,998.84 / $4,328.53	Facility		$838.33	$1,998.84	$4,328.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $774.59 / $1,014.64 / $1,434.47	Professional		$774.59	$1,014.64	$1,434.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $41.33 / $1,097.55 / $3,734.66	Facility		$41.33	$1,097.55	$3,734.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $503.38 / $1,277.38 / $1,693.30	Professional		$503.38	$1,277.38	$1,693.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,293.36 / $1,293.36 / $1,293.36	Facility		$1,293.36	$1,293.36	$1,293.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,293.36 / $1,293.36 / $1,293.36	Professional		$1,293.36	$1,293.36	$1,293.36
United Facility/Professional Professional Modifier Low / Median / High Price $433.54 / $856.27 / $1,938.98	Professional		$433.54	$856.27	$1,938.98