Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.05 / $149.05 / $180.66	Facility		$149.05	$149.05	$180.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $164.86 / $744.11	Professional		$108.40	$164.86	$744.11
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 $257.89 / $257.89 / $257.89	Professional		$257.89	$257.89	$257.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $149.05 / $149.05 / $180.66	Facility		$149.05	$149.05	$180.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $164.86 / $744.11	Professional		$108.40	$164.86	$744.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $245.48 / $245.48	Facility		$184.38	$245.48	$245.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $245.48 / $245.48	Professional		$184.38	$245.48	$245.48
United Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $203.72 / $339.70	Professional		$128.66	$203.72	$339.70