Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $4,761.00 / $8,451.00	Facility		$1,426.00	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,985.62 / $2,339.28 / $2,684.13	Professional		$1,985.62	$2,339.28	$2,684.13
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 $1,368.08 / $1,419.70 / $1,419.70	Professional		$1,368.08	$1,419.70	$1,419.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,197.94 / $2,832.70 / $4,960.42	Professional		$2,197.94	$2,832.70	$4,960.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,619.76 / $5,619.76 / $5,619.76	Professional		$5,619.76	$5,619.76	$5,619.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,342.00 / $9,617.00	Facility		$1,151.00	$5,342.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,985.62 / $2,445.67 / $3,693.75	Professional		$1,985.62	$2,445.67	$3,693.75
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,998.72 / $2,998.72 / $2,998.72	Facility		$2,998.72	$2,998.72	$2,998.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,324.75 / $2,915.06 / $5,374.65	Professional		$2,324.75	$2,915.06	$5,374.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,722.76 / $1,722.76 / $1,722.76	Facility		$1,722.76	$1,722.76	$1,722.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,722.76 / $1,722.76 / $1,722.76	Professional		$1,722.76	$1,722.76	$1,722.76
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 $2,288.17 / $2,914.23 / $5,051.51	Professional		$2,288.17	$2,914.23	$5,051.51