Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.33 / $570.42 / $702.15	Professional		$376.33	$570.42	$702.15
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $121.57 / $925.68 / $1,215.70	Professional		$121.57	$925.68	$1,215.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.73 / $746.73 / $746.73	Facility		$746.73	$746.73	$746.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.72 / $746.73 / $1,495.31	Professional		$634.72	$746.73	$1,495.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $376.33 / $638.70 / $732.88	Professional		$376.33	$638.70	$732.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $746.73 / $746.73 / $746.73	Facility		$746.73	$746.73	$746.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $746.73 / $1,495.31	Professional		$90.22	$746.73	$1,495.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $983.50 / $1,157.09 / $1,157.09	Professional		$983.50	$1,157.09	$1,157.09
United Facility/Professional Professional Modifier Low / Median / High Price $350.90 / $535.38 / $920.17	Professional		$350.90	$535.38	$920.17