Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $1,246.24 / $1,619.04	Facility		$529.89	$1,246.24	$1,619.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $537.91 / $9,522.36	Professional		$529.89	$537.91	$9,522.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $488.65 / $574.88 / $8,639.91	Facility		$488.65	$574.88	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $549.88 / $549.88 / $549.88	Professional		$549.88	$549.88	$549.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.90 / $529.89 / $529.89	Facility		$499.90	$529.89	$529.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Professional		$529.89	$529.89	$529.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.91 / $1,246.24 / $1,619.04	Facility		$537.91	$1,246.24	$1,619.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $579.69 / $1,619.04	Professional		$529.89	$579.69	$1,619.04
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $499.90 / $529.89 / $529.89	Facility		$499.90	$529.89	$529.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Professional		$529.89	$529.89	$529.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $523.54 / $523.54 / $607.50	Facility		$523.54	$523.54	$607.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $523.54 / $523.54 / $607.50	Professional		$523.54	$523.54	$607.50
United Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $748.38	Professional		$529.89	$529.89	$748.38