Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.08 / $1,179.23 / $1,179.23	Facility		$1,123.08	$1,179.23	$1,179.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.90 / $1,123.08 / $1,424.50	Professional		$1,008.90	$1,123.08	$1,424.50
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 $183.63 / $1,631.52 / $1,836.30	Professional		$183.63	$1,631.52	$1,836.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,293.24 / $1,293.24 / $2,707.20	Facility		$1,293.24	$1,293.24	$2,707.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,491.30 / $1,491.30 / $2,887.50	Professional		$1,491.30	$1,491.30	$2,887.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,179.23 / $1,179.23 / $1,179.23	Facility		$1,179.23	$1,179.23	$1,179.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,008.90 / $1,123.08 / $1,509.45	Professional		$1,008.90	$1,123.08	$1,509.45
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,293.24 / $1,293.24 / $2,707.20	Facility		$1,293.24	$1,293.24	$2,707.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,491.30 / $2,310.00 / $2,887.50	Professional		$1,491.30	$2,310.00	$2,887.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,039.40 / $2,039.40 / $2,039.40	Facility		$2,039.40	$2,039.40	$2,039.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,039.40 / $2,039.40 / $2,162.19	Professional		$2,039.40	$2,039.40	$2,162.19
United Facility/Professional Facility Modifier Low / Median / High Price $110.10 / $896.13 / $1,570.80	Facility		$110.10	$896.13	$1,570.80
United Facility/Professional Professional Modifier Low / Median / High Price $914.42 / $1,091.72 / $2,183.44	Professional		$914.42	$1,091.72	$2,183.44