Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $1,156.97 / $1,503.07	Facility		$495.55	$1,156.97	$1,503.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $500.50 / $749.07	Professional		$495.55	$500.50	$749.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $456.98 / $537.62 / $8,639.91	Facility		$456.98	$537.62	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $514.24 / $514.24 / $537.63	Professional		$514.24	$514.24	$537.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $495.55 / $495.55	Facility		$467.50	$495.55	$495.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $499.38 / $1,156.97 / $1,503.07	Facility		$499.38	$1,156.97	$1,503.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $500.50 / $1,503.07	Professional		$495.55	$500.50	$1,503.07
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $495.55 / $495.55	Facility		$467.50	$495.55	$495.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $462.87 / $462.87 / $537.10	Facility		$462.87	$462.87	$537.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $462.87 / $462.87 / $537.10	Professional		$462.87	$462.87	$537.10
United Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $684.35	Professional		$495.55	$495.55	$684.35