Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.42 / $1,027.33 / $1,027.33	Facility		$978.42	$1,027.33	$1,027.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.89 / $978.42 / $1,245.90	Professional		$604.89	$978.42	$1,245.90
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 $1,418.08 / $1,862.30 / $1,862.30	Professional		$1,418.08	$1,862.30	$1,862.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $109.87 / $109.87	Facility		$109.87	$109.87	$109.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $93.39 / $147.10	Professional		$93.39	$93.39	$147.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,027.33 / $1,027.33 / $1,027.33	Facility		$1,027.33	$1,027.33	$1,027.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $604.89 / $978.42 / $1,276.22	Professional		$604.89	$978.42	$1,276.22
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $109.87 / $109.87	Facility		$109.87	$109.87	$109.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $93.39 / $147.10	Professional		$93.39	$93.39	$147.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,772.60 / $1,772.60 / $1,772.60	Facility		$1,772.60	$1,772.60	$1,772.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,745.00 / $1,772.60 / $1,849.60	Professional		$1,745.00	$1,772.60	$1,849.60
United Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $111.74 / $806.84	Professional		$90.97	$111.74	$806.84