Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,408.48 / $3,578.90 / $3,578.90	Facility		$3,408.48	$3,578.90	$3,578.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,036.25 / $3,408.48 / $4,260.60	Professional		$3,036.25	$3,408.48	$4,260.60
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 $4,951.68 / $5,631.60 / $5,631.60	Professional		$4,951.68	$5,631.60	$5,631.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.50 / $3,681.54 / $7,706.70	Facility		$422.50	$3,681.54	$7,706.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $4,550.34 / $8,385.94	Professional		$422.50	$4,550.34	$8,385.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,578.90 / $3,578.90 / $3,578.90	Facility		$3,578.90	$3,578.90	$3,578.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,947.82 / $3,408.48 / $4,437.07	Professional		$2,947.82	$3,408.48	$4,437.07
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $422.50 / $3,681.54 / $7,706.70	Facility		$422.50	$3,681.54	$7,706.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $4,550.34 / $8,385.94	Professional		$422.50	$4,550.34	$8,385.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6,189.60 / $6,189.60 / $6,189.60	Facility		$6,189.60	$6,189.60	$6,189.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6,189.60 / $6,189.60 / $6,397.60	Professional		$6,189.60	$6,189.60	$6,397.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,691.61 / $3,213.94 / $5,933.42	Professional		$2,691.61	$3,213.94	$5,933.42