Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.36 / $713.00 / $1,178.82	Facility		$438.36	$713.00	$1,178.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $1,200.06	Professional		$475.33	$475.33	$1,200.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $394.53 / $464.15 / $8,639.91	Facility		$394.53	$464.15	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $464.15 / $464.15 / $464.15	Professional		$464.15	$464.15	$464.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Facility		$475.33	$475.33	$475.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Professional		$475.33	$475.33	$475.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $475.33 / $713.00 / $1,178.82	Facility		$475.33	$713.00	$1,178.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $1,200.06	Professional		$475.33	$475.33	$1,200.06
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Facility		$475.33	$475.33	$475.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Professional		$475.33	$475.33	$475.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $493.97 / $493.97 / $573.19	Facility		$493.97	$493.97	$573.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $493.97 / $493.97 / $573.19	Professional		$493.97	$493.97	$573.19
United Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
United Facility/Professional Professional Modifier Low / Median / High Price $466.01 / $466.01 / $643.55	Professional		$466.01	$466.01	$643.55