Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.18 / $507.34 / $507.34	Facility		$483.18	$507.34	$507.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.63 / $501.74 / $621.28	Professional		$394.63	$501.74	$621.28
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 / $701.84 / $724.80	Professional		$72.48	$701.84	$724.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $545.00 / $574.53	Facility		$545.00	$545.00	$574.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.25 / $545.00 / $1,082.81	Professional		$463.25	$545.00	$1,082.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $507.34 / $507.34 / $507.34	Facility		$507.34	$507.34	$507.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $437.09 / $501.74 / $582.70	Professional		$437.09	$501.74	$582.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $545.00 / $574.53	Facility		$545.00	$545.00	$574.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $545.00 / $1,082.81	Professional		$66.06	$545.00	$1,082.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $877.30 / $877.30 / $877.30	Facility		$877.30	$877.30	$877.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $877.30 / $877.30 / $887.30	Professional		$877.30	$877.30	$887.30
United Facility/Professional Professional Modifier Low / Median / High Price $429.76 / $513.32 / $1,027.27	Professional		$429.76	$513.32	$1,027.27