Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,018.27 / $11,626.50 / $15,104.50	Facility		$5,018.27	$11,626.50	$15,104.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,018.27 / $5,219.91 / $10,407.00	Professional		$5,018.27	$5,219.91	$10,407.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,765.97 / $5,607.04 / $11,074.46	Facility		$4,765.97	$5,607.04	$11,074.46
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5,363.26 / $5,363.26 / $5,363.26	Professional		$5,363.26	$5,363.26	$5,363.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,875.68 / $5,168.22 / $5,168.22	Facility		$4,875.68	$5,168.22	$5,168.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,018.27 / $8,480.87 / $15,104.50	Facility		$5,018.27	$8,480.87	$15,104.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5,018.27 / $5,219.91 / $15,104.50	Professional		$5,018.27	$5,219.91	$15,104.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,875.68 / $5,168.22 / $5,168.22	Facility		$4,875.68	$5,168.22	$5,168.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,597.02 / $4,597.02 / $5,334.28	Facility		$4,597.02	$4,597.02	$5,334.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,597.02 / $4,597.02 / $5,334.28	Professional		$4,597.02	$4,597.02	$5,334.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,968.58 / $4,968.58 / $4,968.58	Facility		$4,968.58	$4,968.58	$4,968.58
United Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $8,907.44	Professional		$5,168.22	$5,168.22	$8,907.44