Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $10,327.64	Facility		$3,947.40	$3,947.40	$10,327.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.20 / $3,947.40 / $3,947.40	Professional		$3,715.20	$3,947.40	$3,947.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Facility		$3,947.40	$3,947.40	$3,947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $5,013.20 / $10,327.64	Facility		$3,947.40	$5,013.20	$10,327.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,715.20 / $3,947.40 / $5,013.20	Professional		$3,715.20	$3,947.40	$5,013.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Facility		$3,947.40	$3,947.40	$3,947.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6,470.64 / $6,470.64 / $7,117.70	Facility		$6,470.64	$6,470.64	$7,117.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6,470.64 / $6,470.64 / $7,117.70	Professional		$6,470.64	$6,470.64	$7,117.70
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $5,050.35	Professional		$3,870.00	$3,870.00	$5,050.35