Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,562.64 / $8,585.09 / $10,275.40	Facility		$2,562.64	$8,585.09	$10,275.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.64 / $2,015.28 / $2,114.80	Professional		$1,318.64	$2,015.28	$2,114.80
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,940.64 / $1,940.64 / $1,940.64	Professional		$1,940.64	$1,940.64	$1,940.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,635.26 / $3,232.46 / $8,256.02	Facility		$1,635.26	$3,232.46	$8,256.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,859.20 / $2,859.20 / $3,574.00	Professional		$2,859.20	$2,859.20	$3,574.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,144.48 / $1,467.92 / $3,368.75	Professional		$1,144.48	$1,467.92	$3,368.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,562.64 / $9,330.00 / $10,275.40	Facility		$2,562.64	$9,330.00	$10,275.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,632.87 / $2,114.80 / $10,275.40	Professional		$1,632.87	$2,114.80	$10,275.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,738.54 / $3,313.16 / $8,256.02	Facility		$1,738.54	$3,313.16	$8,256.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,859.20 / $2,859.20 / $3,574.00	Professional		$2,859.20	$2,859.20	$3,574.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $2,488.00 / $2,736.80	Facility		$2,488.00	$2,488.00	$2,736.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,189.44 / $2,488.00 / $2,736.80	Professional		$2,189.44	$2,488.00	$2,736.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,492.80 / $4,329.12	Professional		$1,044.96	$1,492.80	$4,329.12