Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.14 / $1,126.86 / $1,463.97	Facility		$484.14	$1,126.86	$1,463.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $488.98 / $948.18	Professional		$484.14	$488.98	$948.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $446.45 / $525.24 / $8,639.91	Facility		$446.45	$525.24	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $502.41 / $502.41 / $504.24	Professional		$502.41	$502.41	$504.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.73 / $484.14 / $484.14	Facility		$456.73	$484.14	$484.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Professional		$484.14	$484.14	$484.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $486.38 / $958.32 / $1,463.97	Facility		$486.38	$958.32	$1,463.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $488.98 / $1,463.97	Professional		$484.14	$488.98	$1,463.97
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $456.73 / $484.14 / $484.14	Facility		$456.73	$484.14	$484.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Professional		$484.14	$484.14	$484.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $411.02 / $411.02 / $476.93	Facility		$411.02	$411.02	$476.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $411.02 / $411.02 / $476.93	Professional		$411.02	$411.02	$476.93
United Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $683.77	Professional		$484.14	$484.14	$683.77