Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,183.74 / $1,242.93 / $1,242.93	Facility		$1,183.74	$1,242.93	$1,242.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.35 / $1,197.58 / $1,599.46	Professional		$1,112.35	$1,197.58	$1,599.46
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 $185.72 / $1,719.52 / $1,857.20	Professional		$185.72	$1,719.52	$1,857.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,452.11 / $1,452.11 / $3,039.80	Facility		$1,452.11	$1,452.11	$3,039.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.11 / $1,503.13 / $2,925.00	Professional		$1,452.11	$1,503.13	$2,925.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,242.93 / $1,242.93 / $1,242.93	Facility		$1,242.93	$1,242.93	$1,242.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,141.76 / $1,197.58 / $1,594.13	Professional		$1,141.76	$1,197.58	$1,594.13
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,452.11 / $1,452.11 / $3,039.80	Facility		$1,452.11	$1,452.11	$3,039.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $1,503.13 / $2,925.00	Professional		$163.71	$1,503.13	$2,925.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,149.40 / $2,149.40 / $2,149.40	Facility		$2,149.40	$2,149.40	$2,149.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,149.40 / $2,149.40 / $2,282.30	Professional		$2,149.40	$2,149.40	$2,282.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,025.99 / $1,296.71 / $2,564.21	Professional		$1,025.99	$1,296.71	$2,564.21