Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,506.00 / $1,581.30 / $1,581.30	Facility		$1,506.00	$1,581.30	$1,581.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,306.54 / $1,626.44 / $2,207.04	Professional		$1,306.54	$1,626.44	$2,207.04
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 $214.08 / $2,140.80 / $2,187.12	Professional		$214.08	$2,140.80	$2,187.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $303.33 / $2,359.19	Facility		$303.33	$303.33	$2,359.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.83 / $257.83 / $3,609.38	Professional		$257.83	$257.83	$3,609.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,581.30 / $1,581.30 / $1,581.30	Facility		$1,581.30	$1,581.30	$1,581.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,382.39 / $1,666.04 / $2,039.48	Professional		$1,382.39	$1,666.04	$2,039.48
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $303.33 / $2,359.19	Facility		$303.33	$303.33	$2,359.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $257.83 / $303.33 / $3,609.38	Professional		$257.83	$303.33	$3,609.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,733.90 / $2,733.90 / $2,733.90	Facility		$2,733.90	$2,733.90	$2,733.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,733.90 / $2,733.90 / $2,857.00	Professional		$2,733.90	$2,733.90	$2,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $401.46 / $2,455.31	Professional		$142.47	$401.46	$2,455.31