Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.06 / $736.46 / $1,150.42	Facility		$392.06	$736.46	$1,150.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $395.98 / $853.12	Professional		$392.06	$395.98	$853.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $361.55 / $425.35 / $8,639.91	Facility		$361.55	$425.35	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $406.86 / $406.86 / $406.86	Professional		$406.86	$406.86	$406.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.87 / $392.06 / $392.06	Facility		$369.87	$392.06	$392.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $394.65 / $666.96 / $1,187.84	Facility		$394.65	$666.96	$1,187.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $395.98 / $1,187.84	Professional		$392.06	$395.98	$1,187.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $369.87 / $392.06 / $392.06	Facility		$369.87	$392.06	$392.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $355.52 / $355.52 / $412.54	Facility		$355.52	$355.52	$412.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $355.52 / $355.52 / $412.54	Professional		$355.52	$355.52	$412.54
United Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $541.42	Professional		$392.06	$392.06	$541.42