Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,768.80 / $1,857.24 / $1,857.24	Facility		$1,768.80	$1,857.24	$1,857.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.49 / $2,004.64 / $2,654.83	Professional		$1,519.49	$2,004.64	$2,654.83
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 / $2,568.08	Professional		$214.08	$2,140.80	$2,568.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.49 / $3,685.49 / $3,685.49	Facility		$3,685.49	$3,685.49	$3,685.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,910.00 / $3,132.67 / $3,685.49	Professional		$2,910.00	$3,132.67	$3,685.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,857.24 / $1,857.24 / $1,857.24	Facility		$1,857.24	$1,857.24	$1,857.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,606.46 / $2,004.64 / $2,565.60	Professional		$1,606.46	$2,004.64	$2,565.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,685.49 / $3,685.49 / $3,685.49	Facility		$3,685.49	$3,685.49	$3,685.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $218.45 / $3,637.50 / $3,685.49	Professional		$218.45	$3,637.50	$3,685.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,210.10 / $3,210.10 / $3,210.10	Facility		$3,210.10	$3,210.10	$3,210.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,210.10 / $3,210.10 / $3,344.20	Professional		$3,210.10	$3,210.10	$3,344.20
United Facility/Professional Professional Modifier Low / Median / High Price $167.42 / $348.30 / $2,833.26	Professional		$167.42	$348.30	$2,833.26