Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.22 / $843.38 / $843.38	Facility		$803.22	$843.38	$843.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.84 / $803.22 / $955.35	Professional		$600.84	$803.22	$955.35
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 $139.79 / $1,167.04 / $1,397.90	Professional		$139.79	$1,167.04	$1,397.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.10 / $881.10 / $881.10	Facility		$881.10	$881.10	$881.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.94 / $881.10 / $2,025.00	Professional		$748.94	$881.10	$2,025.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $843.38 / $843.38 / $843.38	Facility		$843.38	$843.38	$843.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $600.84 / $803.22 / $955.35	Professional		$600.84	$803.22	$955.35
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $881.10 / $881.10 / $881.10	Facility		$881.10	$881.10	$881.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $881.10 / $2,025.00	Professional		$121.82	$881.10	$2,025.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,458.80 / $1,458.80 / $1,458.80	Facility		$1,458.80	$1,458.80	$1,458.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,388.20 / $1,458.80 / $1,458.80	Professional		$1,388.20	$1,458.80	$1,458.80
United Facility/Professional Professional Modifier Low / Median / High Price $610.11 / $838.99 / $1,508.78	Professional		$610.11	$838.99	$1,508.78