Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.88 / $147.91 / $147.91	Facility		$140.88	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.55 / $140.88 / $183.00	Professional		$126.55	$140.88	$183.00
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 $24.22 / $204.72 / $242.20	Professional		$24.22	$204.72	$242.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $178.86	Facility		$178.86	$178.86	$178.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $152.03 / $379.69	Professional		$152.03	$152.03	$379.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $140.87 / $183.46	Professional		$127.22	$140.87	$183.46
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $178.86	Facility		$178.86	$178.86	$178.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $178.86 / $379.69	Professional		$152.03	$178.86	$379.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $255.90 / $255.90 / $255.90	Facility		$255.90	$255.90	$255.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $255.90 / $255.90 / $284.00	Professional		$255.90	$255.90	$284.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.48 / $128.66 / $293.16	Professional		$103.48	$128.66	$293.16