Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.74 / $1,161.83 / $1,509.39	Facility		$496.74	$1,161.83	$1,509.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $501.71 / $600.78	Professional		$496.74	$501.71	$600.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $458.08 / $538.91 / $8,639.91	Facility		$458.08	$538.91	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $515.48 / $515.48 / $517.35	Professional		$515.48	$515.48	$517.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.62 / $496.74 / $496.74	Facility		$468.62	$496.74	$496.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $496.74 / $496.74	Professional		$496.74	$496.74	$496.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $501.47 / $1,161.83 / $1,509.39	Facility		$501.47	$1,161.83	$1,509.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $501.71 / $1,509.39	Professional		$496.74	$501.71	$1,509.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $468.62 / $496.74 / $496.74	Facility		$468.62	$496.74	$496.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $496.74 / $496.74	Professional		$496.74	$496.74	$496.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $481.77 / $481.77 / $559.04	Facility		$481.77	$481.77	$559.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $481.77 / $481.77 / $559.04	Professional		$481.77	$481.77	$559.04
United Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $556.35 / $686.00	Professional		$496.74	$556.35	$686.00