Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.46 / $512.88 / $512.88	Facility		$488.46	$512.88	$512.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.63 / $496.07 / $687.45	Professional		$394.63	$496.07	$687.45
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 $72.48 / $709.44 / $724.80	Professional		$72.48	$709.44	$724.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $552.13 / $589.42	Facility		$552.13	$552.13	$589.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.31 / $552.13 / $1,082.81	Professional		$469.31	$552.13	$1,082.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $512.88 / $512.88 / $512.88	Facility		$512.88	$512.88	$512.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $394.63 / $499.73 / $628.00	Professional		$394.63	$499.73	$628.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $552.13 / $589.42	Facility		$552.13	$552.13	$589.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $552.13 / $1,082.81	Professional		$67.09	$552.13	$1,082.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $886.80 / $886.80 / $886.80	Facility		$886.80	$886.80	$886.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $886.80 / $886.80 / $892.80	Professional		$886.80	$886.80	$892.80
United Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $529.54 / $1,053.70	Professional		$441.00	$529.54	$1,053.70