Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.15 / $241.04 / $241.04	Facility		$193.15	$241.04	$241.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.15 / $216.50 / $1,038.83	Professional		$193.15	$216.50	$1,038.83
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 $206.12 / $242.49 / $242.49	Professional		$206.12	$242.49	$242.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $191.36 / $191.36	Professional		$191.36	$191.36	$191.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $241.04 / $241.04 / $241.04	Facility		$241.04	$241.04	$241.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $193.15 / $216.59 / $1,038.83	Professional		$193.15	$216.59	$1,038.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $191.36 / $191.36	Professional		$191.36	$191.36	$191.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $238.25 / $238.25 / $238.25	Facility		$238.25	$238.25	$238.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $238.25 / $238.25 / $238.25	Professional		$238.25	$238.25	$238.25
United Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $250.32 / $392.88	Professional		$178.50	$250.32	$392.88