Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $5,453.58	Facility		$4,294.16	$4,294.16	$5,453.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,294.16 / $4,294.16	Professional		$4,041.56	$4,294.16	$4,294.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $5,453.58 / $6,140.65	Facility		$4,294.16	$5,453.58	$6,140.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,294.16 / $5,453.58	Professional		$4,041.56	$4,294.16	$5,453.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,076.93 / $4,076.93 / $4,484.62	Facility		$4,076.93	$4,076.93	$4,484.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,076.93 / $4,076.93 / $4,484.62	Professional		$4,076.93	$4,076.93	$4,484.62
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $5,813.95	Professional		$4,209.96	$4,209.96	$5,813.95