Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $889.62 / $1,155.75	Facility		$381.36	$889.62	$1,155.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $385.17 / $906.91	Professional		$381.36	$385.17	$906.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $351.68 / $413.74 / $8,639.91	Facility		$351.68	$413.74	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $395.75 / $395.75 / $413.74	Professional		$395.75	$395.75	$413.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.77 / $381.36 / $381.36	Facility		$359.77	$381.36	$381.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $383.98 / $648.92 / $1,155.75	Facility		$383.98	$648.92	$1,155.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $385.17 / $1,155.75	Professional		$381.36	$385.17	$1,155.75
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $359.77 / $381.36 / $381.36	Facility		$359.77	$381.36	$381.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $357.53 / $357.53 / $414.87	Facility		$357.53	$357.53	$414.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $357.53 / $357.53 / $414.87	Professional		$357.53	$357.53	$414.87
United Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $697.89	Professional		$381.36	$381.36	$697.89