Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.77 / $309.52 / $309.52	Facility		$294.77	$309.52	$309.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.72 / $294.77 / $345.60	Professional		$198.72	$294.77	$345.60
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 $53.73 / $460.62 / $537.29	Professional		$53.73	$460.62	$537.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $338.00 / $338.00	Facility		$338.00	$338.00	$338.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.30 / $338.00 / $773.44	Professional		$287.30	$338.00	$773.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $309.52 / $309.52 / $309.52	Facility		$309.52	$309.52	$309.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $198.72 / $294.77 / $345.60	Professional		$198.72	$294.77	$345.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $338.00 / $338.00	Facility		$338.00	$338.00	$338.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $338.00 / $773.44	Professional		$46.37	$338.00	$773.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $535.40 / $535.40 / $535.40	Facility		$535.40	$535.40	$535.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $511.60 / $535.40 / $535.40	Professional		$511.60	$535.40	$535.40
United Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $218.99 / $437.98	Professional		$183.47	$218.99	$437.98