Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.88 / $405.60 / $1,191.15	Facility		$156.88	$405.60	$1,191.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $362.81 / $508.80	Professional		$225.00	$362.81	$508.80
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 $359.94 / $359.94 / $359.94	Professional		$359.94	$359.94	$359.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $160.59 / $419.76	Facility		$105.78	$160.59	$419.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $104.49 / $130.61	Professional		$104.49	$104.49	$130.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.74 / $275.74 / $392.53	Facility		$275.74	$275.74	$392.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $443.25 / $1,191.15	Facility		$225.00	$443.25	$1,191.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $362.81 / $625.50	Professional		$225.00	$362.81	$625.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $210.43 / $431.80	Facility		$105.78	$210.43	$431.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $104.49 / $130.61	Professional		$104.49	$104.49	$130.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $285.00 / $285.00	Facility		$285.00	$285.00	$285.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $285.00 / $285.00	Professional		$285.00	$285.00	$285.00
United Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $18.37 / $18.37	Facility		$18.37	$18.37	$18.37