Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,660.08 / $1,743.08 / $1,743.08	Facility		$1,660.08	$1,743.08	$1,743.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.83 / $1,660.08 / $2,075.10	Professional		$1,133.83	$1,660.08	$2,075.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $311.50 / $2,412.40 / $3,115.00	Professional		$311.50	$2,412.40	$3,115.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Facility		$1,950.00	$1,950.00	$1,950.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,657.50 / $1,950.00 / $4,514.06	Professional		$1,657.50	$1,950.00	$4,514.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,743.08 / $1,743.08 / $1,743.08	Facility		$1,743.08	$1,743.08	$1,743.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,133.83 / $1,660.08 / $2,075.10	Professional		$1,133.83	$1,660.08	$2,075.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Facility		$1,950.00	$1,950.00	$1,950.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $268.27 / $1,950.00 / $4,514.06	Professional		$268.27	$1,950.00	$4,514.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,015.50 / $3,015.50 / $3,015.50	Facility		$3,015.50	$3,015.50	$3,015.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,015.50 / $3,015.50 / $3,015.50	Professional		$3,015.50	$3,015.50	$3,015.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,150.19 / $1,412.05 / $3,082.74	Professional		$1,150.19	$1,412.05	$3,082.74