Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.12 / $737.23 / $737.23	Facility		$702.12	$737.23	$737.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.21 / $702.12 / $834.56	Professional		$554.21	$702.12	$834.56
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 $123.36 / $1,233.59 / $1,233.59	Professional		$123.36	$1,233.59	$1,233.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $775.91 / $775.91	Facility		$775.91	$775.91	$775.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.52 / $659.52 / $1,785.94	Professional		$659.52	$659.52	$1,785.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $737.23 / $737.23 / $737.23	Facility		$737.23	$737.23	$737.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $554.21 / $658.74 / $835.88	Professional		$554.21	$658.74	$835.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $775.91 / $775.91	Facility		$775.91	$775.91	$775.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $659.52 / $775.91 / $1,785.94	Professional		$659.52	$775.91	$1,785.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,275.20 / $1,275.20 / $1,275.20	Facility		$1,275.20	$1,275.20	$1,275.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,214.70 / $1,275.20 / $1,275.20	Professional		$1,214.70	$1,275.20	$1,275.20
United Facility/Professional Professional Modifier Low / Median / High Price $505.65 / $665.23 / $1,292.58	Professional		$505.65	$665.23	$1,292.58