Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,267.84 / $3,431.23 / $3,431.23	Facility		$3,267.84	$3,431.23	$3,431.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,857.77 / $3,267.84 / $4,084.80	Professional		$2,857.77	$3,267.84	$4,084.80
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 $4,747.52 / $5,494.50 / $5,494.50	Professional		$4,747.52	$5,494.50	$5,494.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $3,417.67 / $7,154.40	Facility		$200.00	$3,417.67	$7,154.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $3,344.98 / $8,118.75	Professional		$462.00	$3,344.98	$8,118.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,431.23 / $3,431.23 / $3,431.23	Facility		$3,431.23	$3,431.23	$3,431.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,736.53 / $3,267.84 / $4,271.25	Professional		$2,736.53	$3,267.84	$4,271.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $3,417.67 / $7,154.40	Facility		$200.00	$3,417.67	$7,154.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $3,344.98 / $8,118.75	Professional		$200.00	$3,344.98	$8,118.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,934.40 / $5,934.40 / $5,934.40	Facility		$5,934.40	$5,934.40	$5,934.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,934.40 / $5,934.40 / $6,019.10	Professional		$5,934.40	$5,934.40	$6,019.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,414.81 / $3,069.16 / $6,573.31	Professional		$2,414.81	$3,069.16	$6,573.31