Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,210.58 / $6,617.44 / $10,867.77	Facility		$5,210.58	$6,617.44	$10,867.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,904.07 / $5,210.58 / $5,210.58	Professional		$4,904.07	$5,210.58	$5,210.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,950.05 / $5,823.59 / $8,735.39	Facility		$4,950.05	$5,823.59	$8,735.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5,823.59 / $5,823.59 / $5,823.59	Professional		$5,823.59	$5,823.59	$5,823.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Facility		$5,210.58	$5,210.58	$5,210.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Professional		$5,210.58	$5,210.58	$5,210.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,815.87 / $7,815.87 / $7,815.87	Professional		$7,815.87	$7,815.87	$7,815.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,931.63 / $5,783.98 / $7,644.78	Facility		$2,931.63	$5,783.98	$7,644.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,796.85 / $8,149.92 / $10,867.77	Facility		$2,796.85	$8,149.92	$10,867.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,904.07 / $5,210.58 / $5,210.58	Professional		$4,904.07	$5,210.58	$5,210.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Facility		$5,210.58	$5,210.58	$5,210.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Professional		$5,210.58	$5,210.58	$5,210.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6,730.76 / $6,730.76 / $7,403.82	Facility		$6,730.76	$6,730.76	$7,403.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6,730.76 / $6,730.76 / $7,403.82	Professional		$6,730.76	$6,730.76	$7,403.82
United Facility/Professional Professional Modifier Low / Median / High Price $5,108.41 / $5,108.41 / $6,666.48	Professional		$5,108.41	$5,108.41	$6,666.48