Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.06 / $400.11 / $400.11	Facility		$381.06	$400.11	$400.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.51 / $381.06 / $459.68	Professional		$273.51	$381.06	$459.68
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 $67.59 / $553.67 / $676.00	Professional		$67.59	$553.67	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $429.00	Facility		$429.00	$429.00	$429.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.65 / $429.00 / $1,012.50	Professional		$364.65	$429.00	$1,012.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $400.11 / $400.11 / $400.11	Facility		$400.11	$400.11	$400.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $273.51 / $381.06 / $459.68	Professional		$273.51	$381.06	$459.68
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $429.00	Facility		$429.00	$429.00	$429.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $429.00 / $1,012.50	Professional		$59.62	$429.00	$1,012.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $692.10 / $692.10 / $692.10	Facility		$692.10	$692.10	$692.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $677.50 / $692.10 / $692.10	Professional		$677.50	$692.10	$692.10
United Facility/Professional Professional Modifier Low / Median / High Price $252.39 / $317.11 / $630.52	Professional		$252.39	$317.11	$630.52