Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.58 / $415.36 / $415.36	Facility		$395.58	$415.36	$415.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.01 / $395.58 / $491.03	Professional		$305.01	$395.58	$491.03
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 $69.98 / $617.50 / $699.80	Professional		$69.98	$617.50	$699.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $255.74	Facility		$255.74	$255.74	$255.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.38 / $255.74 / $1,050.00	Professional		$217.38	$255.74	$1,050.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $415.36 / $415.36 / $415.36	Facility		$415.36	$415.36	$415.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $305.01 / $395.58 / $491.03	Professional		$305.01	$395.58	$491.03
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $255.74	Facility		$255.74	$255.74	$255.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $255.74 / $1,050.00	Professional		$62.91	$255.74	$1,050.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $718.50 / $718.50 / $718.50	Facility		$718.50	$718.50	$718.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $708.90 / $718.50 / $733.60	Professional		$708.90	$718.50	$733.60
United Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $339.25 / $718.82	Professional		$281.33	$339.25	$718.82