Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,417.28 / $12,146.10 / $14,537.60	Facility		$5,417.28	$12,146.10	$14,537.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,822.39 / $14,537.60 / $14,537.60	Professional		$4,822.39	$14,537.60	$14,537.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,745.60 / $2,745.60 / $2,745.60	Professional		$2,745.60	$2,745.60	$2,745.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,313.55 / $4,576.00 / $11,680.99	Facility		$2,313.55	$4,576.00	$11,680.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,613.58 / $4,044.92 / $5,056.14	Professional		$1,613.58	$4,044.92	$5,056.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.20 / $2,076.80 / $4,766.08	Professional		$1,619.20	$2,076.80	$4,766.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,417.28 / $13,200.00 / $14,537.60	Facility		$5,417.28	$13,200.00	$14,537.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5,417.28 / $14,537.60 / $14,537.60	Professional		$5,417.28	$14,537.60	$14,537.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,459.67 / $4,687.43 / $11,680.99	Facility		$2,459.67	$4,687.43	$11,680.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,613.58 / $4,044.92 / $5,056.14	Professional		$1,613.58	$4,044.92	$5,056.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,520.00 / $3,520.00 / $3,872.00	Facility		$3,520.00	$3,520.00	$3,872.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,097.60 / $3,520.00 / $3,872.00	Professional		$3,097.60	$3,520.00	$3,872.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $2,182.40 / $6,441.60	Professional		$1,478.40	$2,182.40	$6,441.60