Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.30 / $425.57 / $425.57	Facility		$405.30	$425.57	$425.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.49 / $405.30 / $495.15	Professional		$307.49	$405.30	$495.15
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 $71.26 / $588.88 / $712.60	Professional		$71.26	$588.88	$712.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $370.80	Facility		$370.80	$370.80	$370.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.18 / $370.80 / $1,078.13	Professional		$315.18	$370.80	$1,078.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $425.57 / $425.57 / $425.57	Facility		$425.57	$425.57	$425.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $307.49 / $405.30 / $495.15	Professional		$307.49	$405.30	$495.15
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $370.80	Facility		$370.80	$370.80	$370.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $370.80 / $1,078.13	Professional		$63.74	$370.80	$1,078.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $736.10 / $736.10 / $736.10	Facility		$736.10	$736.10	$736.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $717.60 / $736.10 / $744.50	Professional		$717.60	$736.10	$744.50
United Facility/Professional Professional Modifier Low / Median / High Price $283.74 / $341.59 / $772.10	Professional		$283.74	$341.59	$772.10