Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.14 / $278.39 / $278.39	Facility		$265.14	$278.39	$278.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.01 / $256.02 / $331.43	Professional		$127.01	$256.02	$331.43
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 $25.89 / $25.89 / $25.89	Professional		$25.89	$25.89	$25.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $64.00 / $64.00	Facility		$38.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $66.81 / $66.81	Professional		$66.81	$66.81	$66.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $278.39 / $278.39 / $278.39	Facility		$278.39	$278.39	$278.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $265.14 / $345.28	Professional		$143.10	$265.14	$345.28
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $64.00 / $64.00	Facility		$38.00	$64.00	$64.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $66.81 / $66.81	Professional		$66.81	$66.81	$66.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $470.40 / $470.40 / $470.40	Facility		$470.40	$470.40	$470.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $447.60 / $470.40 / $479.81	Professional		$447.60	$470.40	$479.81
United Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $24.26 / $44.96	Professional		$16.18	$24.26	$44.96