Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $1,360.00 / $2,108.00	Facility		$850.00	$1,360.00	$2,108.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.00 / $850.00 / $850.00	Professional		$850.00	$850.00	$850.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $705.50 / $830.00 / $8,639.91	Facility		$705.50	$830.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $830.00 / $830.00 / $830.00	Professional		$830.00	$830.00	$830.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Facility		$212.00	$212.00	$212.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $1,309.00 / $2,108.00	Facility		$850.00	$1,309.00	$2,108.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $850.00 / $850.00 / $1,691.50	Professional		$850.00	$850.00	$1,691.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Facility		$212.00	$212.00	$212.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $880.65 / $880.65 / $880.65	Facility		$880.65	$880.65	$880.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $880.65 / $880.65 / $880.65	Professional		$880.65	$880.65	$880.65
United Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $387.96	Professional		$212.00	$212.00	$387.96