Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.30 / $882.48 / $1,103.09	Professional		$563.30	$882.48	$1,103.09
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $169.62 / $1,282.56 / $1,696.20	Professional		$169.62	$1,282.56	$1,696.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.37 / $799.37 / $1,189.80	Facility		$799.37	$799.37	$1,189.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.46 / $799.37 / $2,456.25	Professional		$679.46	$799.37	$2,456.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $563.30 / $905.74 / $1,282.56	Professional		$563.30	$905.74	$1,282.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $799.37 / $799.37 / $1,189.80	Facility		$799.37	$799.37	$1,189.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $799.37 / $2,456.25	Professional		$145.52	$799.37	$2,456.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,214.30 / $1,603.20 / $1,603.20	Professional		$1,214.30	$1,603.20	$1,603.20
United Facility/Professional Professional Modifier Low / Median / High Price $833.76 / $1,204.92 / $2,556.56	Professional		$833.76	$1,204.92	$2,556.56