Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,333.95 / $2,112.84 / $2,641.05	Professional		$1,333.95	$2,112.84	$2,641.05
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $402.16 / $3,619.44 / $4,021.60	Professional		$402.16	$3,619.44	$4,021.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,569.13 / $2,569.13 / $2,569.13	Facility		$2,569.13	$2,569.13	$2,569.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,183.76 / $2,183.76 / $6,060.94	Professional		$2,183.76	$2,183.76	$6,060.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,333.95 / $2,218.48 / $2,752.91	Professional		$1,333.95	$2,218.48	$2,752.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,569.13 / $2,569.13 / $2,569.13	Facility		$2,569.13	$2,569.13	$2,569.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,183.76 / $2,569.13 / $6,060.94	Professional		$2,183.76	$2,569.13	$6,060.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,827.80 / $3,827.80 / $3,981.00	Professional		$3,827.80	$3,827.80	$3,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.32 / $200.96 / $611.07	Professional		$150.32	$200.96	$611.07