Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,857.07 / $1,857.07 / $3,138.45	Facility		$1,857.07	$1,857.07	$3,138.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.06 / $1,857.07 / $6,951.16	Professional		$1,857.06	$1,857.07	$6,951.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,498.32 / $1,762.73 / $8,639.91	Facility		$1,498.32	$1,762.73	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,762.73 / $1,762.73 / $1,762.73	Professional		$1,762.73	$1,762.73	$1,762.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Facility		$2,039.14	$2,039.14	$2,039.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Professional		$2,039.14	$2,039.14	$2,039.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,857.07 / $1,857.07 / $3,138.45	Facility		$1,857.07	$1,857.07	$3,138.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,857.06 / $1,857.07 / $4,707.20	Professional		$1,857.06	$1,857.07	$4,707.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Facility		$2,039.14	$2,039.14	$2,039.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Professional		$2,039.14	$2,039.14	$2,039.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,526.76 / $1,526.76 / $1,526.76	Facility		$1,526.76	$1,526.76	$1,526.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,526.76 / $1,526.76 / $1,526.76	Professional		$1,526.76	$1,526.76	$1,526.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,875.28 / $2,123.77 / $2,654.71	Professional		$1,875.28	$2,123.77	$2,654.71