Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $9,905.64 / $14,204.30	Facility		$4,686.85	$9,905.64	$14,204.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,733.72 / $10,493.60	Professional		$4,686.85	$4,733.72	$10,493.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,322.07 / $5,084.79 / $10,042.96	Facility		$4,322.07	$5,084.79	$10,042.96
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4,863.72 / $4,863.72 / $4,863.72	Professional		$4,863.72	$4,863.72	$4,863.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,421.56 / $4,686.85 / $4,686.85	Facility		$4,421.56	$4,686.85	$4,686.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,281.16 / $5,281.16 / $5,281.16	Facility		$5,281.16	$5,281.16	$5,281.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,719.18 / $8,523.24 / $14,204.30	Facility		$4,719.18	$8,523.24	$14,204.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,733.72 / $14,204.30	Professional		$4,686.85	$4,733.72	$14,204.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,421.56 / $4,686.85 / $4,686.85	Facility		$4,421.56	$4,686.85	$4,686.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,238.68 / $4,238.68 / $4,918.47	Facility		$4,238.68	$4,238.68	$4,918.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,238.68 / $4,238.68 / $4,918.47	Professional		$4,238.68	$4,238.68	$4,918.47
United Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $6,619.43	Professional		$4,686.85	$4,686.85	$6,619.43