Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.62 / $2,520.00 / $2,973.60	Facility		$950.62	$2,520.00	$2,973.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $568.79 / $691.20	Professional		$381.60	$568.79	$691.20
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $561.60 / $561.60 / $561.60	Professional		$561.60	$561.60	$561.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.04 / $935.44 / $2,389.44	Facility		$482.04	$935.44	$2,389.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.24 / $827.24 / $1,034.05	Professional		$827.24	$827.24	$1,034.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $331.20 / $424.80 / $974.88	Professional		$331.20	$424.80	$974.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,108.08 / $2,973.60 / $2,973.60	Facility		$1,108.08	$2,973.60	$2,973.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $472.54 / $612.00 / $2,973.60	Professional		$472.54	$612.00	$2,973.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $482.04 / $909.83 / $2,389.44	Facility		$482.04	$909.83	$2,389.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $827.24 / $827.24 / $1,034.05	Professional		$827.24	$827.24	$1,034.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $720.00 / $792.00	Facility		$720.00	$720.00	$792.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $633.60 / $720.00 / $792.00	Professional		$633.60	$720.00	$792.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $1,224.00	Professional		$302.39	$432.00	$1,224.00