Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $810.09 / $1,052.42	Facility		$346.11	$810.09	$1,052.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $349.57 / $817.41	Professional		$346.11	$349.57	$817.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $319.17 / $375.49 / $8,639.91	Facility		$319.17	$375.49	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $359.17 / $359.17 / $359.17	Professional		$359.17	$359.17	$359.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.52 / $346.11 / $346.11	Facility		$326.52	$346.11	$346.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Professional		$346.11	$346.11	$346.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $349.66 / $810.09 / $1,052.42	Facility		$349.66	$810.09	$1,052.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $349.66 / $1,052.42	Professional		$346.11	$349.66	$1,052.42
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $326.52 / $346.11 / $346.11	Facility		$326.52	$346.11	$346.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Professional		$346.11	$346.11	$346.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $313.48 / $313.48 / $363.75	Facility		$313.48	$313.48	$363.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $313.48 / $313.48 / $363.75	Professional		$313.48	$313.48	$363.75
United Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Facility		$346.11	$346.11	$346.11
United Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $477.98	Professional		$346.11	$346.11	$477.98