Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $3,745.00 / $8,017.00	Facility		$1,084.00	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.65 / $1,108.27 / $1,286.53	Professional		$940.65	$1,108.27	$1,286.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $480.79 / $498.94 / $498.94	Professional		$480.79	$498.94	$498.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.23 / $1,340.90 / $2,349.54	Professional		$1,041.23	$1,340.90	$2,349.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,193.07 / $2,193.07 / $2,193.07	Professional		$2,193.07	$2,193.07	$2,193.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,048.89 / $1,158.71 / $3,494.00	Professional		$1,048.89	$1,158.71	$3,494.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,420.75 / $1,420.75 / $1,420.75	Facility		$1,420.75	$1,420.75	$1,420.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,097.56 / $1,380.74 / $2,546.41	Professional		$1,097.56	$1,380.74	$2,546.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,037.08 / $1,037.08 / $1,140.80	Facility		$1,037.08	$1,037.08	$1,140.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,037.08 / $1,037.08 / $1,140.80	Professional		$1,037.08	$1,037.08	$1,140.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,368.00	Facility		$1,440.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,051.50 / $1,341.60 / $2,392.75	Professional		$1,051.50	$1,341.60	$2,392.75