Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.47 / $234.47 / $284.20	Facility		$234.47	$234.47	$284.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.52 / $259.33 / $1,170.59	Professional		$170.52	$259.33	$1,170.59
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 $405.72 / $405.72 / $405.72	Professional		$405.72	$405.72	$405.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $170.00	Professional		$170.00	$170.00	$170.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $234.47 / $234.47 / $284.20	Facility		$234.47	$234.47	$284.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $170.52 / $259.33 / $1,170.59	Professional		$170.52	$259.33	$1,170.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $170.00	Professional		$170.00	$170.00	$170.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $290.07 / $386.17 / $386.17	Facility		$290.07	$386.17	$386.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $290.07 / $386.17 / $386.17	Professional		$290.07	$386.17	$386.17
United Facility/Professional Professional Modifier Low / Median / High Price $202.41 / $279.76 / $472.29	Professional		$202.41	$279.76	$472.29