Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $339.32 / $451.76	Professional		$296.56	$339.32	$451.76
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $445.00 / $469.28	Professional		$44.50	$445.00	$469.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $329.00 / $449.38	Facility		$329.00	$329.00	$449.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.64 / $279.64 / $660.94	Professional		$279.64	$279.64	$660.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $313.01 / $329.62 / $438.40	Professional		$313.01	$329.62	$438.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $329.00 / $449.38	Facility		$329.00	$329.00	$449.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $279.64 / $329.00 / $660.94	Professional		$279.64	$329.00	$660.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $585.20 / $586.60 / $746.60	Professional		$585.20	$586.60	$746.60
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $251.61 / $581.11	Professional		$195.79	$251.61	$581.11