Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,116.32 / $4,386.03 / $5,607.19	Facility		$2,116.32	$4,386.03	$5,607.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,557.02 / $4,067.00	Professional		$2,116.32	$2,557.02	$4,067.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,951.61 / $2,296.01 / $8,639.91	Facility		$1,951.61	$2,296.01	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,196.17 / $2,196.17 / $2,196.17	Professional		$2,196.17	$2,196.17	$2,196.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,996.53 / $2,116.32 / $2,116.32	Facility		$1,996.53	$2,116.32	$2,116.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,367.85 / $6,322.34 / $7,470.73	Facility		$2,367.85	$6,322.34	$7,470.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,116.32 / $4,365.72 / $6,424.25	Facility		$2,116.32	$4,365.72	$6,424.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,906.34 / $6,424.25	Professional		$2,116.32	$2,906.34	$6,424.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,996.53 / $2,116.32 / $2,116.32	Facility		$1,996.53	$2,116.32	$2,116.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,924.94 / $1,924.94 / $2,233.66	Facility		$1,924.94	$1,924.94	$2,233.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,924.94 / $1,924.94 / $2,233.66	Professional		$1,924.94	$1,924.94	$2,233.66
United Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,761.80	Professional		$2,116.32	$2,116.32	$2,761.80