Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $1,224.00 / $2,276.64	Facility		$816.00	$1,224.00	$2,276.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $7,438.76	Professional		$816.00	$816.00	$7,438.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $677.28 / $796.80 / $8,639.91	Facility		$677.28	$796.80	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $796.80 / $796.80 / $796.80	Professional		$796.80	$796.80	$796.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Facility		$816.00	$816.00	$816.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.28 / $863.28 / $863.28	Facility		$863.28	$863.28	$863.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $1,224.00 / $4,627.97	Facility		$816.00	$1,224.00	$4,627.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $2,794.10	Professional		$816.00	$816.00	$2,794.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Facility		$816.00	$816.00	$816.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,937.89 / $1,937.89 / $2,248.67	Facility		$1,937.89	$1,937.89	$2,248.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,937.89 / $1,937.89 / $2,248.67	Professional		$1,937.89	$1,937.89	$2,248.67
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,433.20	Professional		$800.00	$800.00	$1,433.20