Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $14,689.41	Facility		$1,275.00	$1,275.00	$14,689.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,275.00 / $1,275.00	Professional		$1,200.00	$1,275.00	$1,275.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $967.00 / $967.00	Facility		$967.00	$967.00	$967.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $867.00 / $1,020.00 / $1,686.63	Professional		$867.00	$1,020.00	$1,686.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $14,689.41	Facility		$1,275.00	$1,275.00	$14,689.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,275.00 / $1,275.00	Professional		$1,200.00	$1,275.00	$1,275.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,631.25	Professional		$1,250.00	$1,250.00	$1,631.25