Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.04 / $931.39 / $931.39	Facility		$887.04	$931.39	$931.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.65 / $887.04 / $1,056.15	Professional		$699.65	$887.04	$1,056.15
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 $155.90 / $1,559.00 / $1,559.00	Professional		$155.90	$1,559.00	$1,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $989.22	Facility		$989.22	$989.22	$989.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.21 / $989.22 / $2,259.38	Professional		$751.21	$989.22	$2,259.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $931.39 / $931.39 / $931.39	Facility		$931.39	$931.39	$931.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $699.65 / $832.48 / $1,079.50	Professional		$699.65	$832.48	$1,079.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $989.22	Facility		$989.22	$989.22	$989.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $751.21 / $989.22 / $2,259.38	Professional		$751.21	$989.22	$2,259.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,611.00 / $1,611.00 / $1,611.00	Facility		$1,611.00	$1,611.00	$1,611.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,598.20 / $1,611.00 / $1,611.00	Professional		$1,598.20	$1,611.00	$1,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.50 / $846.26 / $1,498.33	Professional		$638.50	$846.26	$1,498.33