Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $893.04 / $1,160.19	Facility		$384.85	$893.04	$1,160.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $388.70 / $1,156.97	Professional		$384.85	$388.70	$1,156.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $354.89 / $417.52 / $8,639.91	Facility		$354.89	$417.52	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $399.37 / $399.37 / $399.37	Professional		$399.37	$399.37	$399.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.06 / $384.85 / $384.85	Facility		$363.06	$384.85	$384.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $385.46 / $936.67 / $1,160.19	Facility		$385.46	$936.67	$1,160.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $388.70 / $1,160.19	Professional		$384.85	$388.70	$1,160.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $363.06 / $384.85 / $384.85	Facility		$363.06	$384.85	$384.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $391.32 / $391.32 / $454.07	Facility		$391.32	$391.32	$454.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $391.32 / $391.32 / $454.07	Professional		$391.32	$391.32	$454.07
United Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $411.79 / $543.80	Professional		$384.85	$411.79	$543.80