Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.14 / $1,784.20 / $3,478.90	Facility		$657.14	$1,784.20	$3,478.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.51 / $657.14 / $864.50	Professional		$634.51	$657.14	$864.50
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 $1,349.65 / $1,400.58 / $2,407.42	Professional		$1,349.65	$1,400.58	$2,407.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.11 / $734.91 / $1,837.49	Facility		$122.11	$734.91	$1,837.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.30 / $416.30 / $520.38	Professional		$416.30	$416.30	$520.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $722.85 / $1,732.24 / $3,478.90	Facility		$722.85	$1,732.24	$3,478.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $634.51 / $666.25 / $1,795.20	Professional		$634.51	$666.25	$1,795.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $86.83 / $811.54 / $1,899.49	Facility		$86.83	$811.54	$1,899.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $416.30 / $416.30 / $520.38	Professional		$416.30	$416.30	$520.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,301.55 / $1,301.55 / $1,301.55	Facility		$1,301.55	$1,301.55	$1,301.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,301.55 / $1,301.55 / $1,301.55	Professional		$1,301.55	$1,301.55	$1,301.55