Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $575.29 / $60,882.35	Facility		$289.08	$575.29	$60,882.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.27 / $289.08 / $483.02	Professional		$282.27	$289.08	$483.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $273.95 / $322.29 / $8,639.91	Facility		$273.95	$322.29	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $322.29 / $322.29 / $322.29	Professional		$322.29	$322.29	$322.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Facility		$289.08	$289.08	$289.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Professional		$289.08	$289.08	$289.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $433.64 / $44,640.58	Facility		$289.08	$433.64	$44,640.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $282.27 / $289.08 / $575.29	Professional		$282.27	$289.08	$575.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Facility		$289.08	$289.08	$289.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Professional		$289.08	$289.08	$289.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $155.00 / $179.86	Facility		$155.00	$155.00	$179.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $155.00 / $179.86	Professional		$155.00	$155.00	$179.86
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $391.40	Professional		$283.42	$283.42	$391.40