Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.02 / $240.53 / $1,572.47	Facility		$92.02	$240.53	$1,572.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $849.59 / $1,960.00	Professional		$87.25	$849.59	$1,960.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $79.66 / $93.72 / $8,639.91	Facility		$79.66	$93.72	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $89.64 / $89.64	Professional		$89.64	$89.64	$89.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $86.38 / $86.38	Facility		$81.48	$86.38	$86.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $92.02 / $223.61 / $369.78	Facility		$92.02	$223.61	$369.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $742.96 / $1,960.00	Professional		$87.25	$742.96	$1,960.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $86.38 / $86.38	Facility		$81.48	$86.38	$86.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $237.20 / $237.20 / $275.24	Facility		$237.20	$237.20	$275.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $237.20 / $237.20 / $275.24	Professional		$237.20	$237.20	$275.24
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $158.08	Professional		$86.38	$86.38	$158.08