Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $3,070.32	Facility		$2,147.08	$2,147.08	$3,070.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,020.78 / $2,147.08 / $2,147.08	Professional		$2,020.78	$2,147.08	$2,147.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,039.73 / $2,399.67 / $8,459.92	Facility		$2,039.73	$2,399.67	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,399.67 / $2,399.67 / $2,399.67	Professional		$2,399.67	$2,399.67	$2,399.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Facility		$2,147.08	$2,147.08	$2,147.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Professional		$2,147.08	$2,147.08	$2,147.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,525.98	Professional		$2,147.08	$2,147.08	$2,525.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,968.35 / $1,968.35 / $1,968.35	Facility		$1,968.35	$1,968.35	$1,968.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $5,539.47	Facility		$2,147.08	$2,147.08	$5,539.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,071.30 / $2,147.08 / $5,281.82	Professional		$2,071.30	$2,147.08	$5,281.82
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Facility		$2,147.08	$2,147.08	$2,147.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Professional		$2,147.08	$2,147.08	$2,147.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,038.46 / $2,038.46 / $2,242.31	Facility		$2,038.46	$2,038.46	$2,242.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,038.46 / $2,038.46 / $2,242.31	Professional		$2,038.46	$2,038.46	$2,242.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,104.98 / $2,747.00	Professional		$2,104.98	$2,104.98	$2,747.00