Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $894.45 / $1,699.06	Facility		$529.26	$894.45	$1,699.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $534.54 / $726.83	Professional		$529.26	$534.54	$726.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $488.07 / $574.20 / $8,639.91	Facility		$488.07	$574.20	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $549.23 / $549.23 / $549.23	Professional		$549.23	$549.23	$549.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.30 / $529.26 / $529.26	Facility		$499.30	$529.26	$529.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $945.76 / $1,593.02	Facility		$529.26	$945.76	$1,593.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $550.64 / $1,593.02	Professional		$529.26	$550.64	$1,593.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $499.30 / $529.26 / $529.26	Facility		$499.30	$529.26	$529.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $517.39 / $517.39 / $600.37	Facility		$517.39	$517.39	$600.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $517.39 / $517.39 / $600.37	Professional		$517.39	$517.39	$600.37
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $968.55	Professional		$529.26	$529.26	$968.55