Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.50 / $3,278.07 / $3,973.15	Facility		$807.50	$3,278.07	$3,973.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $769.50 / $807.50	Professional		$570.00	$769.50	$807.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,281.21 / $4,372.38 / $8,459.92	Facility		$3,281.21	$4,372.38	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $741.00 / $741.00 / $741.00	Professional		$741.00	$741.00	$741.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $901.55 / $1,381.35 / $3,152.24	Facility		$901.55	$1,381.35	$3,152.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,579.00 / $4,579.00 / $4,579.00	Professional		$4,579.00	$4,579.00	$4,579.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $997.50 / $1,282.50 / $2,346.50	Professional		$997.50	$1,282.50	$2,346.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $978.50 / $2,697.05 / $3,923.50	Facility		$978.50	$2,697.05	$3,923.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $623.49 / $807.50 / $3,923.50	Professional		$623.49	$807.50	$3,923.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $924.70 / $1,470.54 / $3,152.24	Facility		$924.70	$1,470.54	$3,152.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,579.00 / $4,579.00 / $4,579.00	Professional		$4,579.00	$4,579.00	$4,579.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $950.00 / $1,045.00	Facility		$950.00	$950.00	$1,045.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $950.00 / $1,045.00	Professional		$950.00	$950.00	$1,045.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $570.00 / $1,719.88	Professional		$399.00	$570.00	$1,719.88