Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $1,105.00 / $1,403.35	Facility		$1,105.00	$1,105.00	$1,403.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,105.00 / $1,105.00	Professional		$1,040.00	$1,105.00	$1,105.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Facility		$1,066.90	$1,066.90	$1,066.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.30 / $1,315.65 / $1,315.65	Professional		$1,118.30	$1,315.65	$1,315.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $1,403.35 / $1,580.15	Facility		$1,105.00	$1,403.35	$1,580.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,105.00 / $1,403.35	Professional		$1,040.00	$1,105.00	$1,403.35
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Facility		$1,066.90	$1,066.90	$1,066.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,358.50	Facility		$1,235.00	$1,235.00	$1,358.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,358.50	Professional		$1,235.00	$1,235.00	$1,358.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,611.68	Professional		$1,235.00	$1,235.00	$1,611.68