Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.46 / $1,117.38 / $1,396.73	Professional		$705.46	$1,117.38	$1,396.73
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $212.68 / $1,619.52 / $2,126.80	Professional		$212.68	$1,619.52	$2,126.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,516.14 / $1,516.14 / $2,364.80	Facility		$1,516.14	$1,516.14	$2,364.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.31 / $1,743.98 / $3,079.69	Professional		$185.31	$1,743.98	$3,079.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $705.46 / $1,117.38 / $1,396.73	Professional		$705.46	$1,117.38	$1,396.73
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,516.14 / $1,516.14 / $2,364.80	Facility		$1,516.14	$1,516.14	$2,364.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $1,743.98 / $3,079.69	Professional		$169.88	$1,743.98	$3,079.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,520.62 / $2,024.40 / $2,024.40	Professional		$1,520.62	$2,024.40	$2,024.40
United Facility/Professional Professional Modifier Low / Median / High Price $806.25 / $1,145.95 / $1,911.13	Professional		$806.25	$1,145.95	$1,911.13