Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.88 / $922.82 / $922.82	Facility		$878.88	$922.82	$922.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.54 / $948.30 / $1,177.00	Professional		$716.54	$948.30	$1,177.00
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 $128.22 / $128.22 / $128.22	Professional		$128.22	$128.22	$128.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.57 / $936.57 / $1,390.24	Facility		$936.57	$936.57	$1,390.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.08 / $796.08 / $936.57	Professional		$796.08	$796.08	$936.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $922.82 / $922.82 / $922.82	Facility		$922.82	$922.82	$922.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $716.54 / $948.30 / $1,187.83	Professional		$716.54	$948.30	$1,187.83
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $936.57 / $936.57 / $1,390.24	Facility		$936.57	$936.57	$1,390.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $796.08 / $796.08 / $964.67	Professional		$796.08	$796.08	$964.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,595.60 / $1,595.60 / $1,595.60	Facility		$1,595.60	$1,595.60	$1,595.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,595.60 / $1,595.60 / $1,637.70	Professional		$1,595.60	$1,595.60	$1,637.70
United Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $127.57 / $1,118.15	Professional		$78.19	$127.57	$1,118.15