Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $178.39 / $178.39	Facility		$142.94	$178.39	$178.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $142.94 / $688.44	Professional		$138.75	$142.94	$688.44
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 $152.54 / $179.46 / $179.46	Professional		$152.54	$179.46	$179.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $147.22 / $688.44	Professional		$138.75	$147.22	$688.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $152.63 / $152.63	Facility		$152.63	$152.63	$152.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $152.63 / $152.63	Professional		$152.63	$152.63	$152.63
United Facility/Professional Professional Modifier Low / Median / High Price $117.87 / $172.80 / $272.94	Professional		$117.87	$172.80	$272.94