Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.50 / $2,587.94 / $3,136.70	Facility		$637.50	$2,587.94	$3,136.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $607.50 / $637.50	Professional		$450.00	$607.50	$637.50
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $585.00 / $585.00	Professional		$585.00	$585.00	$585.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.75 / $1,027.44 / $2,488.32	Facility		$711.75	$1,027.44	$2,488.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,615.00 / $3,615.00 / $3,615.00	Professional		$3,615.00	$3,615.00	$3,615.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $787.50 / $1,012.50 / $1,852.50	Professional		$787.50	$1,012.50	$1,852.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $772.50 / $2,129.25 / $3,097.50	Facility		$772.50	$2,129.25	$3,097.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $492.23 / $637.50 / $3,097.50	Professional		$492.23	$637.50	$3,097.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $730.12 / $1,161.10 / $2,488.32	Facility		$730.12	$1,161.10	$2,488.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,615.00 / $3,615.00 / $3,615.00	Professional		$3,615.00	$3,615.00	$3,615.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $825.00	Facility		$750.00	$750.00	$825.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $825.00	Professional		$750.00	$750.00	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $450.00 / $1,125.00	Professional		$315.00	$450.00	$1,125.00