Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.28 / $509.54 / $509.54	Facility		$485.28	$509.54	$509.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.95 / $509.54 / $638.48	Professional		$464.95	$509.54	$638.48
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 / $704.80 / $724.80	Professional		$72.48	$704.80	$724.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $695.55	Facility		$568.02	$568.02	$695.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.82 / $568.02 / $1,082.81	Professional		$482.82	$568.02	$1,082.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $509.54 / $509.54 / $509.54	Facility		$509.54	$509.54	$509.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $464.95 / $523.79 / $610.04	Professional		$464.95	$523.79	$610.04
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $695.55	Facility		$568.02	$568.02	$695.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $482.82 / $568.02 / $1,082.81	Professional		$482.82	$568.02	$1,082.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $881.00 / $881.00 / $881.00	Facility		$881.00	$881.00	$881.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $881.00 / $881.00 / $914.80	Professional		$881.00	$881.00	$914.80
United Facility/Professional Professional Modifier Low / Median / High Price $462.20 / $554.64 / $1,104.54	Professional		$462.20	$554.64	$1,104.54