Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.80 / $1,172.56 / $1,184.28	Facility		$583.80	$1,172.56	$1,184.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,184.28	Professional		$1,172.56	$1,172.56	$1,184.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $996.68 / $1,172.56 / $8,639.91	Facility		$996.68	$1,172.56	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Professional		$1,172.56	$1,172.56	$1,172.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Facility		$1,172.56	$1,172.56	$1,172.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,216.81	Professional		$1,172.56	$1,172.56	$1,216.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $996.68 / $1,172.56 / $1,497.78	Professional		$996.68	$1,172.56	$1,497.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $583.80 / $1,177.04 / $1,177.04	Facility		$583.80	$1,177.04	$1,177.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,184.28	Professional		$1,172.56	$1,172.56	$1,184.28
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,106.19 / $1,172.56 / $1,172.56	Facility		$1,106.19	$1,172.56	$1,172.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,327.42	Professional		$1,172.56	$1,172.56	$1,327.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $290.89 / $290.89 / $337.54	Facility		$290.89	$290.89	$337.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $290.89 / $290.89 / $463.50	Professional		$290.89	$290.89	$463.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,465.70	Professional		$1,172.56	$1,172.56	$1,465.70