Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.90 / $772.70 / $772.70	Facility		$735.90	$772.70	$772.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.49 / $830.01 / $1,093.40	Professional		$556.49	$830.01	$1,093.40
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 $100.42 / $100.42 / $100.42	Professional		$100.42	$100.42	$100.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.38 / $845.38 / $1,083.41	Facility		$845.38	$845.38	$1,083.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $718.57 / $845.38	Professional		$718.57	$718.57	$845.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $772.70 / $772.70 / $772.70	Facility		$772.70	$772.70	$772.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $592.20 / $830.01 / $1,003.68	Professional		$592.20	$830.01	$1,003.68
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $845.38 / $845.38 / $1,083.41	Facility		$845.38	$845.38	$1,083.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $718.57 / $870.74	Professional		$718.57	$718.57	$870.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,335.90 / $1,335.90 / $1,335.90	Facility		$1,335.90	$1,335.90	$1,335.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,335.90 / $1,335.90 / $1,362.70	Professional		$1,335.90	$1,335.90	$1,362.70
United Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $114.05 / $947.45	Professional		$65.62	$114.05	$947.45