Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.66 / $151.66 / $151.66	Facility		$151.66	$151.66	$151.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.40 / $155.07 / $163.63	Professional		$151.40	$155.07	$163.63
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 $185.72 / $192.73 / $367.59	Professional		$185.72	$192.73	$367.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $151.66 / $151.66 / $151.66	Facility		$151.66	$151.66	$151.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $151.40 / $155.07 / $171.04	Professional		$151.40	$155.07	$171.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $183.02 / $183.02 / $220.01	Facility		$183.02	$183.02	$220.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $183.02 / $183.02 / $220.01	Professional		$183.02	$183.02	$220.01
United Facility/Professional Professional Modifier Low / Median / High Price $194.74 / $253.01 / $336.34	Professional		$194.74	$253.01	$336.34