Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,423.75 / $1,423.75 / $2,035.96	Facility		$1,423.75	$1,423.75	$2,035.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.00 / $1,423.75 / $1,423.75	Professional		$1,340.00	$1,423.75	$1,423.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $5.00 / $5.00	Professional		$4.82	$5.00	$5.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Facility		$1,380.10	$1,380.10	$1,380.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Professional		$1,380.10	$1,380.10	$1,380.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,249.62 / $38,249.62 / $38,249.62	Professional		$38,249.62	$38,249.62	$38,249.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,423.75 / $1,423.75 / $3,673.27	Facility		$1,423.75	$1,423.75	$3,673.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,373.50 / $1,423.75 / $3,502.43	Professional		$1,373.50	$1,423.75	$3,502.43
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Facility		$1,380.10	$1,380.10	$1,380.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Professional		$1,380.10	$1,380.10	$1,380.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $856.19 / $856.19 / $856.19	Facility		$856.19	$856.19	$856.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $856.19 / $856.19 / $856.19	Professional		$856.19	$856.19	$856.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,675.00 / $1,675.00 / $2,185.88	Professional		$1,675.00	$1,675.00	$2,185.88