Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,649.82 / $1,732.31 / $1,732.31	Facility		$1,649.82	$1,732.31	$1,732.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,423.09 / $1,869.80 / $2,407.12	Professional		$1,423.09	$1,869.80	$2,407.12
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 / $2,395.60	Professional		$214.08	$2,140.80	$2,395.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,576.44 / $2,576.44 / $5,393.40	Facility		$2,576.44	$2,576.44	$5,393.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.64 / $1,472.88 / $3,637.50	Professional		$215.64	$1,472.88	$3,637.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,732.31 / $1,732.31 / $1,732.31	Facility		$1,732.31	$1,732.31	$1,732.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,195.98 / $1,869.80 / $2,317.53	Professional		$1,195.98	$1,869.80	$2,317.53
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,576.44 / $2,576.44 / $5,393.40	Facility		$2,576.44	$2,576.44	$5,393.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $1,472.88 / $3,637.50	Professional		$192.51	$1,472.88	$3,637.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,994.50 / $2,994.50 / $2,994.50	Facility		$2,994.50	$2,994.50	$2,994.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,994.50 / $2,994.50 / $3,128.80	Professional		$2,994.50	$2,994.50	$3,128.80
United Facility/Professional Professional Modifier Low / Median / High Price $156.13 / $467.77 / $2,546.46	Professional		$156.13	$467.77	$2,546.46