Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.26 / $1,493.85 / $1,881.67	Professional		$960.26	$1,493.85	$1,881.67
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $284.33 / $2,165.09 / $2,843.37	Professional		$284.33	$2,165.09	$2,843.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.79 / $1,786.79 / $1,786.79	Facility		$1,786.79	$1,786.79	$1,786.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.77 / $1,786.79 / $4,579.68	Professional		$1,518.77	$1,786.79	$4,579.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,907.37 / $2,907.37 / $3,160.19	Professional		$2,907.37	$2,907.37	$3,160.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $943.13 / $1,493.85 / $2,057.17	Professional		$943.13	$1,493.85	$2,057.17
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,786.79 / $1,786.79 / $1,786.79	Facility		$1,786.79	$1,786.79	$1,786.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,518.77 / $1,786.79 / $4,579.68	Professional		$1,518.77	$1,786.79	$4,579.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,032.89 / $2,706.36 / $3,007.91	Professional		$2,032.89	$2,706.36	$3,007.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,032.52 / $1,445.52 / $2,564.17	Professional		$1,032.52	$1,445.52	$2,564.17