Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.08 / $1,192.02 / $1,490.03	Professional		$811.08	$1,192.02	$1,490.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $226.89 / $1,727.60 / $2,268.90	Professional		$226.89	$1,727.60	$2,268.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.62 / $1,639.62 / $1,639.62	Facility		$1,639.62	$1,639.62	$1,639.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.68 / $1,639.62 / $3,703.13	Professional		$1,393.68	$1,639.62	$3,703.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $752.58 / $1,192.02 / $1,727.60	Professional		$752.58	$1,192.02	$1,727.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,639.62 / $1,639.62 / $1,639.62	Facility		$1,639.62	$1,639.62	$1,639.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $198.09 / $1,639.62 / $3,703.13	Professional		$198.09	$1,639.62	$3,703.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,159.50 / $2,159.50 / $2,361.50	Professional		$2,159.50	$2,159.50	$2,361.50
United Facility/Professional Professional Modifier Low / Median / High Price $808.10 / $1,143.84 / $1,872.33	Professional		$808.10	$1,143.84	$1,872.33