Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.94 / $529.14 / $529.14	Facility		$503.94	$529.14	$529.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.20 / $529.14 / $690.72	Professional		$414.20	$529.14	$690.72
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 $72.48 / $724.80 / $731.92	Professional		$72.48	$724.80	$731.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.29 / $578.29 / $1,404.60	Facility		$578.29	$578.29	$1,404.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.56 / $578.29 / $1,082.81	Professional		$491.56	$578.29	$1,082.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $529.14 / $529.14 / $529.14	Facility		$529.14	$529.14	$529.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $503.93 / $512.10 / $619.09	Professional		$503.93	$512.10	$619.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $578.29 / $578.29 / $1,404.60	Facility		$578.29	$578.29	$1,404.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $578.29 / $1,082.81	Professional		$75.12	$578.29	$1,082.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $914.90 / $914.90 / $914.90	Facility		$914.90	$914.90	$914.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $914.90 / $914.90 / $924.90	Professional		$914.90	$914.90	$924.90
United Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $251.25 / $945.44	Professional		$47.67	$251.25	$945.44