Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,680.00 / $9,676.00	Facility		$1,499.00	$4,680.00	$9,676.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,341.55 / $1,807.07 / $2,378.84	Professional		$1,341.55	$1,807.07	$2,378.84
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 $1,124.98 / $1,323.50 / $2,169.83	Professional		$1,124.98	$1,323.50	$2,169.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,432.65 / $2,432.65 / $2,432.65	Facility		$2,432.65	$2,432.65	$2,432.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,127.93 / $10,127.93 / $10,127.93	Professional		$10,127.93	$10,127.93	$10,127.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,868.16 / $1,868.16 / $1,868.16	Professional		$1,868.16	$1,868.16	$1,868.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,197.52 / $5,197.52 / $10,394.29	Facility		$5,197.52	$5,197.52	$10,394.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,079.00 / $10,527.00	Facility		$1,301.00	$5,079.00	$10,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,341.55 / $1,958.68 / $4,404.71	Professional		$1,341.55	$1,958.68	$4,404.71
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,432.65 / $2,432.65 / $2,432.65	Facility		$2,432.65	$2,432.65	$2,432.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10,127.93 / $10,127.93 / $10,127.93	Professional		$10,127.93	$10,127.93	$10,127.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,065.25 / $1,247.05 / $1,247.05	Facility		$1,065.25	$1,247.05	$1,247.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,065.25 / $1,242.21 / $1,247.05	Professional		$1,065.25	$1,242.21	$1,247.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,170.63 / $1,597.47 / $2,607.63	Professional		$1,170.63	$1,597.47	$2,607.63