Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,303.40 / $3,726.18 / $4,632.57	Professional		$2,303.40	$3,726.18	$4,632.57
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5,400.48 / $7,092.30 / $7,092.30	Professional		$5,400.48	$7,092.30	$7,092.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,106.14 / $5,106.14 / $5,106.14	Facility		$5,106.14	$5,106.14	$5,106.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,340.22 / $5,106.14 / $10,373.44	Professional		$4,340.22	$5,106.14	$10,373.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,303.40 / $3,726.18 / $4,695.60	Professional		$2,303.40	$3,726.18	$4,695.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5,106.14 / $5,106.14 / $5,106.14	Facility		$5,106.14	$5,106.14	$5,106.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $616.89 / $5,106.14 / $10,373.44	Professional		$616.89	$5,106.14	$10,373.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,851.09 / $6,750.60 / $6,812.60	Professional		$4,851.09	$6,750.60	$6,812.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,968.56 / $2,762.85 / $7,062.18	Professional		$1,968.56	$2,762.85	$7,062.18