Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.70 / $884.84 / $884.84	Facility		$842.70	$884.84	$884.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.89 / $842.70 / $1,072.73	Professional		$520.89	$842.70	$1,072.73
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 $160.40 / $1,221.35 / $1,604.00	Professional		$160.40	$1,221.35	$1,604.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $84.85 / $121.19	Professional		$84.85	$84.85	$121.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $884.84 / $884.84 / $884.84	Facility		$884.84	$884.84	$884.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $520.89 / $842.70 / $1,159.34	Professional		$520.89	$842.70	$1,159.34
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $84.85 / $131.01	Professional		$84.85	$84.85	$131.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,526.70 / $1,526.70 / $1,526.70	Facility		$1,526.70	$1,526.70	$1,526.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,526.70 / $1,544.60 / $1,680.30	Professional		$1,526.70	$1,544.60	$1,680.30
United Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $100.02 / $712.38	Professional		$76.06	$100.02	$712.38