Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $15,103.70 / $19,621.90	Facility		$6,408.38	$15,103.70	$19,621.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,472.46 / $14,657.40	Professional		$6,408.38	$6,472.46	$14,657.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,909.61 / $6,952.48 / $13,731.84	Facility		$5,909.61	$6,952.48	$13,731.84
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6,650.20 / $6,650.20 / $6,650.20	Professional		$6,650.20	$6,650.20	$6,650.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,045.64 / $6,408.38 / $6,408.38	Facility		$6,045.64	$6,408.38	$6,408.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6,519.11 / $11,017.30 / $19,621.90	Facility		$6,519.11	$11,017.30	$19,621.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,519.11 / $19,621.90	Professional		$6,408.38	$6,519.11	$19,621.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6,045.64 / $6,408.38 / $6,408.38	Facility		$6,045.64	$6,408.38	$6,408.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,708.59 / $5,708.59 / $6,624.12	Facility		$5,708.59	$5,708.59	$6,624.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,708.59 / $5,708.59 / $6,624.12	Professional		$5,708.59	$5,708.59	$6,624.12
United Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $8,362.94	Professional		$6,408.38	$6,408.38	$8,362.94