Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.38 / $1,006.30 / $1,006.30	Facility		$958.38	$1,006.30	$1,006.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.51 / $958.38 / $1,220.09	Professional		$592.51	$958.38	$1,220.09
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 $182.42 / $1,824.20 / $1,824.20	Professional		$182.42	$1,824.20	$1,824.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $91.49 / $144.13	Professional		$91.49	$91.49	$144.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,006.30 / $1,006.30 / $1,006.30	Facility		$1,006.30	$1,006.30	$1,006.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $592.51 / $958.38 / $1,250.21	Professional		$592.51	$958.38	$1,250.21
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $91.49 / $144.13	Professional		$91.49	$91.49	$144.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,736.30 / $1,736.30 / $1,736.30	Facility		$1,736.30	$1,736.30	$1,736.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,709.10 / $1,736.30 / $1,811.90	Professional		$1,709.10	$1,736.30	$1,811.90
United Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $101.63 / $790.33	Professional		$89.12	$101.63	$790.33