Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.01 / $689.36 / $1,230.03	Facility		$432.01	$689.36	$1,230.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $436.34 / $940.95	Professional		$432.02	$436.34	$940.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $398.40 / $468.70 / $8,639.91	Facility		$398.40	$468.70	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $448.32 / $448.32 / $448.32	Professional		$448.32	$448.32	$448.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $432.02 / $432.02	Facility		$407.57	$432.02	$432.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Professional		$432.02	$432.02	$432.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $436.33 / $689.36 / $1,326.99	Facility		$436.33	$689.36	$1,326.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $440.87 / $1,326.99	Professional		$432.02	$440.87	$1,326.99
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $432.02 / $432.02	Facility		$407.57	$432.02	$432.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Professional		$432.02	$432.02	$432.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $450.36 / $450.36 / $522.58	Facility		$450.36	$450.36	$522.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $450.36 / $450.36 / $522.58	Professional		$450.36	$450.36	$522.58
United Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $596.62	Professional		$432.02	$432.02	$596.62