Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $393.75 / $393.75	Facility		$375.00	$393.75	$393.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.37 / $375.00 / $442.88	Professional		$274.37	$375.00	$442.88
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 $67.36 / $544.96 / $673.60	Professional		$67.36	$544.96	$673.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $316.74	Facility		$316.74	$316.74	$316.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.23 / $316.74 / $989.06	Professional		$269.23	$316.74	$989.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $393.75 / $393.75 / $393.75	Facility		$393.75	$393.75	$393.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $273.51 / $375.00 / $442.88	Professional		$273.51	$375.00	$442.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $316.74	Facility		$316.74	$316.74	$316.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $316.74 / $989.06	Professional		$58.97	$316.74	$989.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $681.20 / $681.20 / $681.20	Facility		$681.20	$681.20	$681.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $658.20 / $681.20 / $681.20	Professional		$658.20	$681.20	$681.20
United Facility/Professional Professional Modifier Low / Median / High Price $248.55 / $289.60 / $603.41	Professional		$248.55	$289.60	$603.41