Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.31 / $2,521.23 / $3,605.37	Facility		$2,326.31	$2,521.23	$3,605.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,189.33 / $2,521.23 / $3,570.00	Professional		$2,189.33	$2,521.23	$3,570.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,354.19 / $2,769.63 / $8,459.92	Facility		$2,354.19	$2,769.63	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,769.63 / $2,769.63 / $2,769.63	Professional		$2,769.63	$2,769.63	$2,769.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Facility		$3,384.12	$3,384.12	$3,384.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Professional		$3,384.12	$3,384.12	$3,384.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,507.91 / $2,950.48 / $3,570.00	Professional		$2,507.91	$2,950.48	$3,570.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,326.31 / $2,521.23 / $6,001.88	Facility		$2,326.31	$2,521.23	$6,001.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,326.31 / $2,521.23 / $6,001.88	Professional		$2,326.31	$2,521.23	$6,001.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Facility		$3,384.12	$3,384.12	$3,384.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Professional		$3,384.12	$3,384.12	$3,384.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,990.00 / $3,990.00 / $4,389.00	Facility		$3,990.00	$3,990.00	$4,389.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,990.00 / $3,990.00 / $4,389.00	Professional		$3,990.00	$3,990.00	$4,389.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $5,931.83	Professional		$4,200.00	$4,200.00	$5,931.83