Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $6,412.02	Facility		$4,483.93	$4,483.93	$6,412.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,220.17 / $4,483.93 / $4,483.93	Professional		$4,220.17	$4,483.93	$4,483.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,259.72 / $5,011.43 / $8,639.91	Facility		$4,259.72	$5,011.43	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5,011.43 / $5,011.43 / $5,011.43	Professional		$5,011.43	$5,011.43	$5,011.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Facility		$4,483.93	$4,483.93	$4,483.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,811.34 / $4,483.93 / $4,483.93	Professional		$3,811.34	$4,483.93	$4,483.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $11,568.50	Facility		$4,483.93	$4,483.93	$11,568.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,325.67 / $4,483.93 / $11,030.50	Professional		$4,325.67	$4,483.93	$11,030.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Facility		$4,483.93	$4,483.93	$4,483.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $835.24 / $835.24 / $1,161.97	Facility		$835.24	$835.24	$1,161.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $835.24 / $835.24 / $1,641.76	Professional		$835.24	$835.24	$1,641.76
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $6,884.15	Professional		$5,275.21	$5,275.21	$6,884.15