Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,570.40	Facility		$2,137.96	$2,137.96	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,691.53 / $4,786.30	Professional		$1,348.96	$2,691.53	$4,786.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $3,630.78	Professional		$74.13	$74.13	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,570.40	Facility		$2,137.96	$2,137.96	$2,570.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $3,467.37	Professional		$1,513.56	$2,570.40	$3,467.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,467.37	Facility		$2,630.27	$2,630.27	$3,467.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,467.37	Professional		$2,630.27	$2,630.27	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $4,786.30	Professional		$1,819.70	$2,884.03	$4,786.30