Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.00 / $5,254.00 / $10,398.00	Facility		$1,462.00	$5,254.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,149.38 / $1,508.06 / $2,202.57	Professional		$1,149.38	$1,508.06	$2,202.57
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 $645.99 / $670.37 / $670.37	Professional		$645.99	$670.37	$670.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,444.00 / $1,444.00 / $1,444.00	Facility		$1,444.00	$1,444.00	$1,444.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $490.00 / $490.00 / $490.00	Professional		$490.00	$490.00	$490.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,526.00 / $11,083.00	Facility		$1,426.00	$5,526.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,016.95 / $1,632.58 / $7,188.00	Professional		$1,016.95	$1,632.58	$7,188.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,444.00 / $1,444.00 / $1,444.00	Facility		$1,444.00	$1,444.00	$1,444.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,847.74 / $2,847.74 / $2,847.74	Professional		$2,847.74	$2,847.74	$2,847.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,742.00 / $12,134.00 / $30,381.00	Facility		$3,742.00	$12,134.00	$30,381.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,730.39 / $2,238.46 / $3,753.71	Professional		$1,730.39	$2,238.46	$3,753.71