Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $1,087.16 / $1,797.43	Facility		$724.77	$1,087.16	$1,797.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Professional		$724.77	$724.77	$724.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $373.56 / $439.48 / $8,639.91	Facility		$373.56	$439.48	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $439.48 / $439.48 / $439.48	Professional		$439.48	$439.48	$439.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Facility		$724.77	$724.77	$724.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Professional		$724.77	$724.77	$724.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $1,087.16 / $1,797.43	Facility		$724.77	$1,087.16	$1,797.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $1,442.29	Professional		$724.77	$724.77	$1,442.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Facility		$724.77	$724.77	$724.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Professional		$724.77	$724.77	$724.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $315.18 / $315.18 / $315.18	Facility		$315.18	$315.18	$315.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $315.18 / $315.18 / $315.18	Professional		$315.18	$315.18	$315.18
United Facility/Professional Professional Modifier Low / Median / High Price $639.50 / $710.56 / $981.28	Professional		$639.50	$710.56	$981.28