Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.44 / $489.76 / $489.76	Facility		$466.44	$489.76	$489.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.50 / $466.44 / $606.23	Professional		$294.50	$466.44	$606.23
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 $88.78 / $676.00 / $887.80	Professional		$88.78	$676.00	$887.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.40 / $872.40 / $872.40	Facility		$872.40	$872.40	$872.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.37 / $643.37 / $1,068.75	Professional		$643.37	$643.37	$1,068.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $489.76 / $489.76 / $489.76	Facility		$489.76	$489.76	$489.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $294.50 / $466.44 / $607.59	Professional		$294.50	$466.44	$607.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $872.40 / $872.40 / $872.40	Facility		$872.40	$872.40	$872.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $643.37 / $643.37 / $1,068.75	Professional		$643.37	$643.37	$1,068.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $845.00 / $845.00 / $845.00	Facility		$845.00	$845.00	$845.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $845.00 / $845.00 / $878.60	Professional		$845.00	$845.00	$878.60
United Facility/Professional Professional Modifier Low / Median / High Price $319.69 / $413.15 / $727.79	Professional		$319.69	$413.15	$727.79