Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $2,443.29 / $3,174.19	Facility		$1,045.15	$2,443.29	$3,174.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,055.59 / $3,312.23	Professional		$1,045.15	$1,055.59	$3,312.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $963.81 / $1,133.89 / $8,639.91	Facility		$963.81	$1,133.89	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,084.58 / $1,084.58 / $1,084.58	Professional		$1,084.58	$1,084.58	$1,084.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $985.99 / $1,045.15 / $1,045.15	Facility		$985.99	$1,045.15	$1,045.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.58 / $2,077.84 / $3,174.19	Facility		$1,054.58	$2,077.84	$3,174.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,055.59 / $3,174.19	Professional		$1,045.15	$1,055.59	$3,174.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $985.99 / $1,045.15 / $1,045.15	Facility		$985.99	$1,045.15	$1,045.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $987.00 / $987.00 / $1,145.29	Facility		$987.00	$987.00	$1,145.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $987.00 / $987.00 / $1,145.29	Professional		$987.00	$987.00	$1,145.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,443.35	Professional		$1,045.15	$1,045.15	$1,443.35